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General NPI Number Information
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NPI Number | 1760241780
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Entity Type | Organization
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Legal Business Name | PALMER OPTOMETRY MASSACHUSETTS P.C.
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 289 COUNTY ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-3512
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Country | US
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Telephone | 508-293-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 E HOOT OWL TRL
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELSEY PALMER
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Credential | OD
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Telephone | 602-291-9529
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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 |
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License Number State |
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