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General NPI Number Information
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NPI Number | 1073830972
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Entity Type | Individual
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Provider Name | TINA PALMER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2010
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Last Update Date | 05/01/2010
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Provider Practice Location Address
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Address Line | 770 W 21ST ST
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City | NORFOLK
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State | VA
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Zip | 23517-1921
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Country | US
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Telephone | 757-627-5588
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Fax | 757-533-9412
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Provider Business Mailing Address
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Address Line | 405 SAWYERS MILL XING
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City | CHESAPEAKE
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State | VA
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Zip | 23323-6811
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Country | US
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Telephone | 757-673-0623
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Fax | 757-673-2447
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202205345
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License Number State | VA
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