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General NPI Number Information
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NPI Number | 1730263567
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Entity Type | Individual
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Provider Name | OLIVIA CALHOUN PALMER D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 545 PARKWOOD ESTATES DR
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City | CHARLESTON
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State | SC
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Zip | 29407-7712
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Country | US
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Telephone | 843-577-2727
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Fax | 843-577-8810
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Provider Business Mailing Address
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Address Line | 8694 GLASCOW ISLAND LN
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City | EDISTO ISLAND
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State | SC
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Zip | 29438-6314
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Country | US
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Telephone | 843-577-2727
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Fax | 843-577-8810
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | SC 2510
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License Number State | SC
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