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General NPI Number Information
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NPI Number | 1104691203
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Entity Type | Individual
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Provider Name | PATRICIA PALMER MA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 4966 EL CAMINO REAL STE 216
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City | LOS ALTOS
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State | CA
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Zip | 94022-1458
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Country | US
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Telephone | 408-475-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 10017 SPANISH OAK CT
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City | CUPERTINO
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State | CA
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Zip | 95014-5623
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Country | US
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Telephone | 408-242-5626
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12226
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 134842
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License Number State | CA
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