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General NPI Number Information
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NPI Number | 1295938421
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Entity Type | Individual
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Provider Name | BRONIA WALDEN PALMER
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9548 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19115
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Country | US
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Telephone | 215-671-8860
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Fax | 215-671-8169
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Provider Business Mailing Address
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Address Line | 3828 LOOP RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006
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Country | US
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Telephone | 215-938-7324
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC005904L
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License Number State | PA
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