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General NPI Number Information
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NPI Number | 1851015176
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST FAMILY PRACTICE
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2270 E PALMDALE BLVD STE K
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City | PALMDALE
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State | CA
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Zip | 93550-1339
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Country | US
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Telephone | 310-430-0190
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Fax | 949-703-7318
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Provider Business Mailing Address
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Address Line | 2318 W AVENUE P12
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City | PALMDALE
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State | CA
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Zip | 93551-6021
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Country | US
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Telephone | 661-724-4242
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Fax | 949-703-7318
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Authorized Official
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Title or Position | MEMBER
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Name | JACQUELINE PALMER
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Credential | NP
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Telephone | 404-447-4007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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