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General NPI Number Information
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NPI Number | 1255803565
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Entity Type | Organization
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Legal Business Name | PALMER PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 70 WINDING WAY
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3800
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Country | US
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Telephone | 212-289-1586
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Fax | 855-959-2433
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Provider Business Mailing Address
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Address Line | 70 WINDING WAY
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3800
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Country | US
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Telephone | 212-289-1586
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Fax | 855-959-2433
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Authorized Official
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Title or Position | OWNER
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Name | JAMES O PALMER
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Credential | PT
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Telephone | 212-289-1586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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