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General NPI Number Information
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NPI Number | 1538279377
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Entity Type | Organization
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Legal Business Name | VICTORIA R PALMER DO PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1052 MILFORD WARREN GLEN RD
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City | BLOOMSBURY
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State | NJ
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Zip | 08804-2023
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Country | US
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Telephone | 908-995-1590
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Fax | 908-995-7951
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Provider Business Mailing Address
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Address Line | 1052 MILFORD WARREN GLEN RD
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City | BLOOMSBURY
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State | NJ
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Zip | 08804-2023
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Country | US
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Telephone | 908-995-1590
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Fax | 908-995-7951
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MR. NORMAN JAMES BOARDMAN
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Credential |
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Telephone | 908-995-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB62734
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License Number State | NJ
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