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General NPI Number Information
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NPI Number | 1205628401
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Entity Type | Organization
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Legal Business Name | OWEN PALMER, MD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1733 WOODSIDE RD STE 330
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3463
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Country | US
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Telephone | 650-241-8671
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Fax | 650-942-0737
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Provider Business Mailing Address
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Address Line | 50 WOODSIDE PLZ # 827
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City | REDWOOD CITY
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State | CA
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Zip | 94061-2500
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Country | US
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Telephone | 650-241-8671
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Fax | 650-942-0737
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Authorized Official
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Title or Position | CEO, FOUNDER
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Name | OWEN PALMER
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Credential | MD
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Telephone | 650-241-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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