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General NPI Number Information
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NPI Number | 1174606909
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Entity Type | Organization
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Legal Business Name | PALMERTON MEDICAL ASSOC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 135 LAFAYETTE AVENUE 2ND FLOOR
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City | PALMERTON
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State | PA
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Zip | 18071
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Country | US
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Telephone | 610-826-4420
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Fax | 610-826-6082
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Provider Business Mailing Address
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Address Line | 135 LAFAYETTE AVENUE 2ND FLOOR
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City | PALMERTON
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State | PA
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Zip | 18071
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Country | US
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Telephone | 610-826-4420
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Fax | 610-826-6082
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KELLY J KNAPPENBERGER
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Credential |
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Telephone | 610-826-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD041437L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD022172E
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License Number State | PA
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