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General NPI Number Information
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NPI Number | 1164830634
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Entity Type | Organization
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Legal Business Name | EDUARDO PALANCA MD PA
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 2901 RIGSBY LN
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4828
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Country | US
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Telephone | 727-724-8777
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Fax | 855-649-6066
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Provider Business Mailing Address
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Address Line | 2901 RIGSBY LN
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4828
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Country | US
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Telephone | 727-724-8777
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Fax | 855-649-6066
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | DOREEN MCKEE
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Credential |
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Telephone | 727-724-8777
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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 | ME107758
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License Number State | FL
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