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General NPI Number Information
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NPI Number | 1366434078
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Entity Type | Individual
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Provider Name | CHRISTOPHER G PALMER MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 4005 WESTMARK DR SUITE 200
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City | DUBUQUE
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State | IA
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Zip | 52002-2271
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Country | US
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Telephone | 563-582-6202
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Fax | 563-582-5909
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Provider Business Mailing Address
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Address Line | 350 N GRANDVIEW ATTN: LAURIE FISHNICK
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City | DUBUQUE
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State | IA
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Zip | 52001-6388
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Country | US
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Telephone | 563-589-2612
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Fax | 563-589-2648
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17684
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 17684
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD30479
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License Number State | TN
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