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General NPI Number Information
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NPI Number | 1427415553
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Entity Type | Individual
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Provider Name | ANNA GIEMZA-PALMER NP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 120 E HOWARD ST
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City | DRIGGS
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State | ID
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Zip | 83422-5112
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Country | US
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Telephone | 208-607-7040
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Fax | 208-441-2208
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Provider Business Mailing Address
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Address Line | 120 E HOWARD ST
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City | DRIGGS
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State | ID
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Zip | 83422-5112
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Country | US
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Telephone | 208-607-7040
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Fax | 208-441-2208
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 36113.1478
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP-1666A
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License Number State | ID
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