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General NPI Number Information
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NPI Number | 1669087896
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Entity Type | Organization
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Legal Business Name | MICHAEL J PALAZZO PHD APRN LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 197 SAND ISLAND ACCESS RD STE 200
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City | HONOLULU
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State | HI
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Zip | 96819-4901
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Country | US
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Telephone | 808-533-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 37 S WENATCHEE AVE STE F308
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City | WENATCHEE
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State | WA
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Zip | 98801-2255
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Country | US
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Telephone | 808-909-2003
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Fax | 808-909-2004
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Authorized Official
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Title or Position | DR.
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Name | MICHAEL J PALAZZO
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Credential | PHD, APRN
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Telephone | 808-537-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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