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General NPI Number Information
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NPI Number | 1316183825
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Entity Type | Organization
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Legal Business Name | FRANK M. PALUMBO MD PC
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 05/03/2009
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Provider Practice Location Address
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Address Line | 115 ANTHONY ST
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City | STATEN ISLAND
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State | NY
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Zip | 10309-2068
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Country | US
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Telephone | 917-502-1849
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Fax | 718-605-3486
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Provider Business Mailing Address
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Address Line | 115 ANTHONY ST
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City | STATEN ISLAND
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State | NY
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Zip | 10309-2068
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Country | US
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Telephone | 917-502-1849
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Fax | 718-605-3486
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. FRANK M PALUMBO
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Credential | MD
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Telephone | 718-809-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 226154
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License Number State | NY
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