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NPI 1487539334

NPI 1487539334 : PALM HEALTH PLLC : BIRMINGHAM, MI

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General NPI Number Information
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    NPI Number           |    1487539334
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    Entity Type          |    Organization 
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    Legal Business Name  |    PALM HEALTH PLLC 
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Dates
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    Enumeration Date     |    08/09/2025
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    Last Update Date     |    08/09/2025
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Provider Practice Location Address
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    Address Line         |    199 W BROWN ST STE 200 
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    City                 |    BIRMINGHAM
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    State                |    MI
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    Zip                  |    48009-6024
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    Country              |    US
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    Telephone            |    248-688-0803
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    199 W BROWN ST STE 200 
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    City                 |    BIRMINGHAM
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    State                |    MI
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    Zip                  |    48009-6024
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     DANIEL  WILSON 
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    Credential           |    
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    Telephone            |    248-688-0803
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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       |    
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    License Number State |    
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