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General NPI Number Information
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NPI Number | 1508607037
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Entity Type | Individual
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Provider Name | ANTHONY PALAZZOLA
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Gender | Male
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2622 GALPIN AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-3162
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Country | US
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Telephone | 248-579-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 32457 WARNER DR
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City | WARREN
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State | MI
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Zip | 48092-3228
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Country | US
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Telephone | 586-229-9444
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Fax |
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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