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General NPI Number Information
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NPI Number | 1326096991
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Entity Type | Individual
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Provider Name | MARY EMERY PALMER MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 225 N FAIRFAX ST 2ND FLOOR
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2646
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Country | US
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Telephone | 703-647-9781
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Fax |
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Provider Business Mailing Address
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Address Line | 315 S LEE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3813
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Country | US
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Telephone | 703-683-1884
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0063721
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License Number State | MD
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