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General NPI Number Information
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NPI Number | 1417914904
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Entity Type | Individual
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Provider Name | AMY PALMER PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 2488 BOSTON POST RD SUITE 23A
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City | GUILFORD
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State | CT
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Zip | 06437-1368
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Country | US
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Telephone | 203-533-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 2488 BOSTON POST RD SUITE 23A
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City | GUILFORD
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State | CT
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Zip | 06437-1368
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Country | US
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Telephone | 203-533-5858
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 002416
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 002416
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License Number State | CT
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