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General NPI Number Information
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NPI Number | 1346225612
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Entity Type | Individual
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Provider Name | IRINA PALATNIK NP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 13380 AMIOT DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-2239
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Country | US
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Telephone | 314-910-1372
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Fax | 314-542-0894
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Provider Business Mailing Address
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Address Line | 13380 AMIOT DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-2239
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Country | US
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Telephone | 314-910-1372
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Fax | 314-542-0894
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | MO 146617
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License Number State | MO
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