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General NPI Number Information
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NPI Number | 1821326828
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Entity Type | Organization
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Legal Business Name | PALMS WELLNESS CENTER INC
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 472D WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6824
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Country | US
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Telephone | 910-238-4513
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Fax | 910-238-4745
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Provider Business Mailing Address
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Address Line | 472D WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6824
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Country | US
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Telephone | 910-238-4513
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Fax | 910-238-4745
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Authorized Official
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Title or Position | OWNER
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Name | VICTOR BARNES
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Credential | M.D.
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Telephone | 910-238-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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