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General NPI Number Information
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NPI Number | 1720601321
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Entity Type | Individual
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Provider Name | MARGARET MARY ELLEN PALMER DMD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 80 PLEASANT STREET
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City | BRUNSWICK
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State | ME
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Zip | 04011-2203
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Country | US
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Telephone | 207-344-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 25 JAMECO MILL RD
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8215
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Country | US
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Telephone | 207-671-7760
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN4788
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License Number State | ME
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