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General NPI Number Information
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NPI Number | 1396076469
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Entity Type | Organization
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Legal Business Name | DAVID A. PALMORE M.D. INC.
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 1187 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3166
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Country | US
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Telephone | 559-449-4547
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Fax | 559-761-1530
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Provider Business Mailing Address
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Address Line | 1187 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3166
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Country | US
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Telephone | 559-449-4547
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Fax | 559-761-1530
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NILDA KARINA PALMORE
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Credential |
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Telephone | 559-779-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A49623
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License Number State | CA
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