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General NPI Number Information
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NPI Number | 1801071873
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Entity Type | Organization
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Legal Business Name | SCHUBERT PALMER, M.D., INC.
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 900 S ATLANTIC BLVD
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4716
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Country | US
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Telephone | 323-224-2040
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Fax | 323-224-2061
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Provider Business Mailing Address
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Address Line | PO BOX 331100
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City | LOS ANGELES
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State | CA
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Zip | 90033-0002
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Country | US
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Telephone | 323-224-2040
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Fax | 323-224-2061
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MS. MARINA RAMIREZ
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Credential |
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Telephone | 323-224-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G45372
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License Number State | CA
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