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General NPI Number Information
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NPI Number | 1518503879
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Entity Type | Organization
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Legal Business Name | PALMER MEDICAL, PLLC
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 34725 PALMER RD
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City | WESTLAND
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State | MI
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Zip | 48186-4460
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Country | US
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Telephone | 734-589-8090
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Fax | 734-589-8089
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Provider Business Mailing Address
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Address Line | 25500 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-3926
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Country | US
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Telephone | 313-914-2395
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Fax | 313-914-2437
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Authorized Official
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Title or Position | BILLER
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Name | KIMBERLY MAHONY
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Credential |
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Telephone | 734-284-6204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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