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General NPI Number Information
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NPI Number | 1578654331
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Entity Type | Organization
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Legal Business Name | ANTHONY J PALUMBO M D P C
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 4350 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5316
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Country | US
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Telephone | 315-733-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 MIDDLE SETTLEMENT RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-5316
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Country | US
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Telephone | 315-733-2020
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | ANTHONY J PALUMBO
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Credential | M.D.
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Telephone | 315-733-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1287091
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License Number State | NY
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