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General NPI Number Information
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NPI Number | 1073703351
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Entity Type | Individual
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Provider Name | MARTHA FRITH PALM DC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 14 ERICA COURT
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City | NOVATO
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State | CA
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Zip | 94947-1900
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Country | US
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Telephone | 415-898-1699
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Fax | 415-899-8013
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Provider Business Mailing Address
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Address Line | 14 ERICA COURT
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City | NOVATO
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State | CA
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Zip | 94947-1900
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Country | US
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Telephone | 415-898-1699
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Fax | 415-899-8013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CA15207
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License Number State | CA
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