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General NPI Number Information
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NPI Number | 1316970338
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Entity Type | Individual
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Provider Name | MICHAEL PALCHAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 25133 COUNTY ROAD 96
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City | DAVIS
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State | CA
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Zip | 95616-9476
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Country | US
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Telephone | 530-979-7775
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Fax | 530-758-6904
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Provider Business Mailing Address
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Address Line | 25133 COUNTY ROAD 96
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City | DAVIS
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State | CA
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Zip | 95616-9476
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Country | US
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Telephone | 530-758-6974
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Fax | 530-758-6904
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G63751
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | G63751
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License Number State | CA
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