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General NPI Number Information
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NPI Number | 1588819577
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Entity Type | Individual
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Provider Name | CHRISTINA DESMOND PALMER LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR STE 456J
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City | BEVERLY
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State | MA
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Zip | 01915-6132
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Country | US
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Telephone | 978-921-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 19 HUCKLEBERRY LN
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City | HAMPTON
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State | NH
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Zip | 03842-1518
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Country | US
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Telephone | 603-929-9598
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1087
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License Number State | MA
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