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General NPI Number Information
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NPI Number | 1366983702
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Entity Type | Individual
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Provider Name | VINCENT PALMIERI
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Gender | Male
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 6524 W SACK DR STE 240
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City | GLENDALE
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State | AZ
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Zip | 85308-7719
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Country | US
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Telephone | 602-933-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7761
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Country | US
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Telephone | 602-933-3124
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Fax | 404-778-1401
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 86104
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 71998
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License Number State | AZ
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