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General NPI Number Information
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NPI Number | 1528223435
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Entity Type | Individual
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Provider Name | ROBERT SCOTT PALMER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 223 S 700 E STE 3
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2174
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Country | US
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Telephone | 801-703-5765
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Fax |
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Provider Business Mailing Address
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Address Line | 223 S 700 E STE 3
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2174
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Country | US
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Telephone | 801-703-5765
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7261542-9922
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7597
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License Number State | AZ
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