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General NPI Number Information
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NPI Number | 1255412557
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Entity Type | Organization
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Legal Business Name | MICHELE R. PALAZZOLO, O.D.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 300 TOLL GATE RD SUITE 101B
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City | WARWICK
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State | RI
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Zip | 02886-4416
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Country | US
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Telephone | 401-463-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 300 TOLL GATE RD SUITE 101B
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City | WARWICK
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State | RI
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Zip | 02886-4416
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Country | US
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Telephone | 401-463-3500
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHELE R. PALAZZOLO
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Credential | O.D.
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Telephone | 401-463-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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