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General NPI Number Information
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NPI Number | 1518396787
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Entity Type | Individual
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Provider Name | VAL I. PALMER D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 2464 W. 12600 S. SUITE 110
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City | RIVERTON
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State | UT
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Zip | 84065
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Country | US
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Telephone | 801-477-7222
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Fax | 801-446-2640
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Provider Business Mailing Address
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Address Line | 7023 S. DEREK HOLLOW COVE (770 E.)
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City | MIDVALE
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State | UT
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Zip | 84047
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Country | US
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Telephone | 801-915-4196
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8051626-1202
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License Number State | UT
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