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NPI 1497181952

NPI 1497181952 : JILL KERLEY PALMA DC : LEEDS, AL

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General NPI Number Information
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    NPI Number           |    1497181952
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    Entity Type          |    Individual 
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    Provider Name        |    JILL KERLEY PALMA DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2013
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    Last Update Date     |    08/31/2015
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Provider Practice Location Address
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    Address Line         |    1101 HIGROVE PKWY SUITE 113
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    City                 |    LEEDS
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    State                |    AL
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    Zip                  |    35094-1703
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    Country              |    US
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    Telephone            |    205-699-6600
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    Fax                  |    205-702-4877
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Provider Business Mailing Address
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    Address Line         |    132 CEDAR ROCK RD 
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    City                 |    LEEDS
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    State                |    AL
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    Zip                  |    35094-8810
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    Country              |    US
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    Telephone            |    205-699-6600
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    Fax                  |    205-702-4877
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2389
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    License Number State |    AL
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