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General NPI Number Information
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NPI Number | 1407133143
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Entity Type | Organization
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Legal Business Name | WILLIAM PALMER AP, LLC
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 610 N WYMORE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-2862
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Country | US
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Telephone | 407-622-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 NEOLA TRL
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City | WINTER PARK
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State | FL
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Zip | 32789-1329
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Country | US
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Telephone | 407-571-9213
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM PALMER
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Credential | AP
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Telephone | 386-717-3029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2928
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License Number State | FL
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