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General NPI Number Information
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NPI Number | 1578587929
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Entity Type | Organization
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Legal Business Name | LINDA PALERMO P.C.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 80 FOURTH ST
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City | STAMFORD
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State | CT
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Zip | 06905-5530
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Country | US
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Telephone | 203-353-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 80 4TH ST
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City | STAMFORD
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State | CT
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Zip | 06905-5009
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Country | US
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Telephone | 203-353-9229
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA PALERMO
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Credential | MA,LMFT, PH.D.
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Telephone | 203-353-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000607
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License Number State | CT
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