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General NPI Number Information
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NPI Number | 1679522957
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Entity Type | Individual
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Provider Name | HERMAN W. PALAT D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 2451 GRANT AVE SUITE 1B
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1004
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Country | US
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Telephone | 215-671-8900
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Fax | 215-671-1272
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Provider Business Mailing Address
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Address Line | P. O. BOX 8500-6335
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0001
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Country | US
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Telephone | 215-807-8000
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Fax | 215-807-8235
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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 | OS002817L
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License Number State | PA
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