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NPI 1841319712

NPI 1841319712 : AMY L PALMER PHD : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1841319712
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    Entity Type          |    Individual 
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    Provider Name        |    AMY L PALMER PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2007
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    Last Update Date     |    01/04/2013
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Provider Practice Location Address
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    Address Line         |    30 HENDERSONVILLE RD SUITE 1
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28803-2396
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    Country              |    US
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    Telephone            |    828-772-5335
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30 HENDERSONVILLE RD SUITE 1
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28803-2396
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    Country              |    US
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    Telephone            |    828-772-5335
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    Fax                  |    
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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        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    3629
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    License Number State |    NC
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