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General NPI Number Information
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NPI Number | 1164419172
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Entity Type | Organization
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Legal Business Name | PALM ORTHOPEDICS, INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 883 4TH AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5733
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Country | US
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Telephone | 239-262-2797
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Fax | 239-262-8663
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Provider Business Mailing Address
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Address Line | 883 4TH AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5733
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Country | US
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Telephone | 239-262-2797
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Fax | 239-262-8663
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Authorized Official
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Title or Position | PRES
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Name | JOHN P ATKINSON
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Credential | CPO, RPH
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Telephone | 239-262-2797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | POR 27
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License Number State | FL
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