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General NPI Number Information
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NPI Number | 1437528577
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Entity Type | Organization
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Legal Business Name | DESIREE T. PALMER, DMD, PA
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 106 W PARRISH ST SUITE 1
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City | DURHAM
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State | NC
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Zip | 27701-3369
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Country | US
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Telephone | 919-680-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 105 NEWSOM STREET SUITE 204
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City | DURHAM
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State | NC
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Zip | 27704
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Country | US
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Telephone | 919-471-9106
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Fax | 919-477-0954
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Authorized Official
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Title or Position | OWNER
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Name | DR. DESIREE TWITTY PLAMER
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Credential | DMD
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Telephone | 919-471-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8952
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8281
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5320
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License Number State | NC
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