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General NPI Number Information
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NPI Number | 1114591492
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Entity Type | Individual
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Provider Name | PALORIA CACHE KINSKII HILLS DO
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 850 PETER BRYCE BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7457
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Country | US
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Telephone | 205-348-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 809 GALLAGHER DR STE D
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City | SHERMAN
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State | TX
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Zip | 75090-1754
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Country | US
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Telephone | 903-771-2846
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Fax | 903-771-2849
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO3828
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License Number State | AL
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