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General NPI Number Information
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NPI Number | 1710503842
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Entity Type | Individual
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Provider Name | GABRIELLA M PALMA LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 900 E DIEHL RD STE 110
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City | NAPERVILLE
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State | IL
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Zip | 60563-4808
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Country | US
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Telephone | 630-428-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 1632 S 4TH PL
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City | ST CHARLES
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State | IL
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Zip | 60174-4317
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Country | US
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Telephone | 630-806-1532
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149022161
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License Number State | IL
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