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General NPI Number Information
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NPI Number | 1245773951
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Entity Type | Individual
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Provider Name | COLETTE S PALMER NP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR STE 445
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-2130
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Fax | 757-953-0825
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | NORFOLK
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State | VA
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Zip | 23501-0936
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Country | US
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Telephone | 757-446-8920
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Fax | 757-446-5242
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024174276
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License Number State | VA
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