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General NPI Number Information
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NPI Number | 1609469402
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Entity Type | Organization
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Legal Business Name | PALM ORTHOPEDICS & INTERVENTIONAL PAIN LLC
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 7710 NW 71ST CT STE 201
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City | TAMARAC
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State | FL
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Zip | 33321-2931
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Country | US
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Telephone | 954-747-1221
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16535
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City | PLANTATION
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State | FL
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Zip | 33318-6535
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Country | US
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Telephone | 954-747-1221
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Fax | 954-747-1231
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Authorized Official
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Title or Position | OWNER
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Name | JULIAN CAMERON
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Credential | M.D.
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Telephone | 954-747-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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