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General NPI Number Information
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NPI Number | 1134297609
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Entity Type | Individual
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Provider Name | JAMES ROBERT PALMATIER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 53 W MAIN ST
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City | VICTOR
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State | NY
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Zip | 14564-1106
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Country | US
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Telephone | 585-924-7970
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Fax | 585-924-8329
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Provider Business Mailing Address
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Address Line | 903 FENWICK LN
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City | VICTOR
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State | NY
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Zip | 14564-1295
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Country | US
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Telephone | 585-924-1735
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Fax | 585-924-8329
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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 | 044218
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License Number State | NY
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