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General NPI Number Information
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NPI Number | 1699424663
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Entity Type | Individual
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Provider Name | EZEKIEL GEORGE PALMANI
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Gender | Male
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 10450 W MCDOWELL RD STE 102
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City | AVONDALE
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State | AZ
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Zip | 85392-4901
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Country | US
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Telephone | 602-648-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 E DANBURY RD
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City | PHOENIX
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State | AZ
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Zip | 85032-2425
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Country | US
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Telephone | 602-569-5656
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 32245
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 32245
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License Number State | AZ
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