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General NPI Number Information
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NPI Number | 1184766289
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Entity Type | Individual
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Provider Name | MARCIA A PALMER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3000 MURVIHILL RD
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City | VALPARAISO
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State | IN
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Zip | 46383-5960
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Country | US
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Telephone | 219-464-7055
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Fax | 219-464-3111
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Provider Business Mailing Address
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Address Line | 1514 CARDINAL CT
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City | MUNSTER
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State | IN
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Zip | 46321-3801
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Country | US
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Telephone | 219-730-7777
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Fax | 219-924-6865
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26013163
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51-030655
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9301
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License Number State | AZ
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