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General NPI Number Information
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NPI Number | 1861725954
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Entity Type | Individual
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Provider Name | CATLIN A PALMER
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Gender | Male
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 1309 CAMAS ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-3060
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Country | US
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Telephone | 208-782-0675
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Fax | 208-782-0678
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Provider Business Mailing Address
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Address Line | 3796 BALBOA TER UNIT C
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City | SAN DIEGO
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State | CA
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Zip | 92117-5428
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Country | US
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Telephone | 208-705-6542
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8851968
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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