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General NPI Number Information
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NPI Number | 1528496270
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Entity Type | Individual
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Provider Name | MICHAEL ALAN PALMER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 100 CAMINO DE RON
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City | LAS VEGAS
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State | NM
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Zip | 87701-3257
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Country | US
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Telephone | 505-425-9341
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Fax | 505-425-9341
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Provider Business Mailing Address
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Address Line | 2505 RIDGE RUNNER RD
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City | LAS VEGAS
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State | NM
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Zip | 87701-4972
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Country | US
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Telephone | 505-425-9341
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Fax | 505-672-7775
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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 | 2097
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License Number State | NM
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