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General NPI Number Information
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NPI Number | 1174720007
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Entity Type | Organization
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Legal Business Name | PALMER CHIROPRATIC LLC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2501 27TH AVENUE SUITE A-1
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City | VERO BEACH
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State | FL
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Zip | 32960-1952
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Country | US
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Telephone | 772-567-4711
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Fax | 772-567-4718
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Provider Business Mailing Address
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Address Line | 2501 27TH AVENUE SUITE A-1
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City | VERO BEACH
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State | FL
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Zip | 32960-1952
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Country | US
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Telephone | 772-567-4711
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Fax | 772-567-4718
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. JL PALMER
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Credential | DC
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Telephone | 772-567-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9027
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License Number State | FL
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