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General NPI Number Information
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NPI Number | 1174996433
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Entity Type | Individual
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Provider Name | TAMIKA PALMER
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Gender | Female
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 850 E FOOTHILL BLVD
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City | RIALTO
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State | CA
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Zip | 92376-5230
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Country | US
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Telephone | 909-421-9301
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Fax | 909-421-9219
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Provider Business Mailing Address
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Address Line | 850 E FOOTHILL BLVD
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City | RIALTO
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State | CA
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Zip | 92376-5230
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Country | US
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Telephone | 909-421-9301
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Fax | 909-421-9219
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Authorized Official
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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