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General NPI Number Information
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NPI Number | 1568683787
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Entity Type | Organization
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Legal Business Name | B.J. PALMA, D.M.D.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 MAIN ST
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1345
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Country | US
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Telephone | 304-527-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 MAIN ST P.O. BOX 417
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1345
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Country | US
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Telephone | 304-527-2277
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | MICHAEL M. PALMA
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Credential | D.M.D.
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Telephone | 304-527-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2674
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License Number State | WV
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