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General NPI Number Information
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NPI Number | 1144280892
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Entity Type | Individual
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Provider Name | LISA ANN PALLINI D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2006
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 4921E BELL RD 205
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6002
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Country | US
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Telephone | 602-753-9043
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Fax | 602-753-9453
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Provider Business Mailing Address
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Address Line | 16601N 40TH ST 118
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City | PHOENIX
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State | AZ
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Zip | 85032-3355
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Country | US
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Telephone | 781-572-2313
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Fax | 602-753-9453
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2213
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 2213
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0701
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License Number State | AZ
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