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General NPI Number Information
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NPI Number | 1730974270
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Entity Type | Organization
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Legal Business Name | PALMAGUI LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1599 BOTELHO DR
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5102
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Country | US
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Telephone | 925-945-8300
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Fax | 925-945-8757
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Provider Business Mailing Address
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Address Line | PO BOX 5106
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City | WALNUT CREEK
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State | CA
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Zip | 94596-1106
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Country | US
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Telephone | 510-326-0714
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MACARIO PALMA-AGUILAR
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Credential |
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Telephone | 925-945-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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