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General NPI Number Information
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NPI Number | 1639462419
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Entity Type | Individual
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Provider Name | WENDY HEROLD PALASTRO MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1440 W TAYLOR ST STE 227
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City | CHICAGO
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State | IL
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Zip | 60607-4623
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Country | US
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Telephone | 888-805-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 533 E GIRARD AVE STE 27046
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City | PHILADELPHIA
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State | PA
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Zip | 19125-3311
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D85437
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 294120
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2023-00840
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301115462
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11907100
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 98619
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101276813
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 275516
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License Number State | MA
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME136342
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 73091
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License Number State | MN
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022041313
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License Number State | MO
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C184245
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License Number State | CA
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-15932
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License Number State | AR
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD451765
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License Number State | PA
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