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General NPI Number Information
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NPI Number | 1497940431
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Entity Type | Organization
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Legal Business Name | NICHOLAS J. PALERMO DO, PC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 257 EAST CENTER STREET
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 860-645-3927
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Fax | 860-643-2531
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Provider Business Mailing Address
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Address Line | 49 ERIE ST
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City | MANCHESTER
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State | CT
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Zip | 06040
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Country | US
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Telephone | 860-645-3927
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Fax | 860-643-2531
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS JOSEPH PALERMO
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Credential | DO
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Telephone | 860-645-3927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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