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General NPI Number Information
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NPI Number | 1750474078
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Entity Type | Individual
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Provider Name | BRUCE LEE PALMER MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1631 11TH ST SUITE A
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4320
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Country | US
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Telephone | 940-264-3222
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Fax | 940-264-3225
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Provider Business Mailing Address
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Address Line | PO BOX 3365
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City | WICHITA FALLS
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State | TX
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Zip | 76301-0365
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Country | US
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Telephone | 940-264-3222
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Fax | 940-264-3225
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 45986
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | K8961
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License Number State | TX
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