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General NPI Number Information
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NPI Number | 1073917548
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Entity Type | Individual
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Provider Name | STEVEN C PALMER LPC
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Gender | Male
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1401 S WALDRON RD STE 200
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City | FORT SMITH
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State | AR
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Zip | 72903-2590
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Country | US
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Telephone | 479-208-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 BALDWIN ST
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City | VAN BUREN
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State | AR
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Zip | 72956-4630
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Country | US
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Telephone | 479-208-3005
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1708341
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License Number State | AR
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