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General NPI Number Information
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NPI Number | 1730216805
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Entity Type | Organization
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Legal Business Name | JESSICA PALMER, O.D., LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 13521 OLD HIGHWAY 280 SUITE 233
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City | BIRMINGHAM
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State | AL
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Zip | 35242-1405
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Country | US
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Telephone | 205-980-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 13521 OLD HIGHWAY 280 SUITE 233
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City | BIRMINGHAM
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State | AL
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Zip | 35242-1405
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Country | US
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Telephone | 205-980-4530
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ANN PALMER
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Credential | O.D.
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Telephone | 205-980-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | SB12TA694
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License Number State | AL
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