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General NPI Number Information
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NPI Number | 1558729525
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Entity Type | Organization
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Legal Business Name | PALMER CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 1555 HOWELL BRANCH RD STE B-2
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City | WINTER PARK
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State | FL
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Zip | 32789-1170
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Country | US
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Telephone | 407-622-9090
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Fax | 407-571-9570
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Provider Business Mailing Address
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Address Line | 1555 HOWELL BRANCH RD STE B-2
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City | WINTER PARK
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State | FL
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Zip | 32789-1170
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Country | US
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Telephone | 407-622-9090
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Fax | 407-571-9570
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. WILLIAM PALMER
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Credential | DC, AP
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Telephone | 386-717-3029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2928
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11619
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License Number State | FL
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