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General NPI Number Information
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NPI Number | 1487803680
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Entity Type | Organization
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Legal Business Name | PALKO & ASSOCIATES INC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 112 PROSPECT ST
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City | DUNMORE
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State | PA
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Zip | 18512
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Country | US
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Telephone | 570-498-0926
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Fax | 570-963-0189
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Provider Business Mailing Address
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Address Line | 561 CHESTNUT ST
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City | DUNMORE
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State | PA
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Zip | 18512-2930
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Country | US
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Telephone | 570-498-0926
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Fax | 570-963-0189
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH D PALKO
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Credential | OTR/L ABDA
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Telephone | 570-498-0926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | OC-003261-L
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License Number State | PA
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