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NPI 1104021625

NPI 1104021625 : PATRICIA W. PALMER RN : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1104021625
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA W. PALMER RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2315 STOCKTON BLVD UCDMC NURSING ADMINISTRATION
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-2201
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    Country              |    US
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    Telephone            |    916-703-3021
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    Fax                  |    916-703-3085
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Provider Business Mailing Address
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    Address Line         |    8133 CARMENCITA AVE 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95829-9417
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    Country              |    US
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    Telephone            |    916-703-3021
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    Fax                  |    916-703-3085
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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        |    364SX0200X
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    Taxonomy Name        |    Oncology Clinical Nurse Specialist
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    License Number       |    245499
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    License Number State |    CA
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