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General NPI Number Information
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NPI Number | 1871564591
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Entity Type | Organization
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Legal Business Name | KELLY A. PALUMBO M.D. P.C.
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 219 W FAIRMONT AVE
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City | NEW CASTLE
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State | PA
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Zip | 16105-1909
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Country | US
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Telephone | 724-654-3222
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Fax | 724-654-9140
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Provider Business Mailing Address
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Address Line | 219 W FAIRMONT AVE
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City | NEW CASTLE
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State | PA
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Zip | 16105-1909
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Country | US
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Telephone | 724-654-3222
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Fax | 724-654-9140
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELLY ANN PALUMBO
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Credential | M.D.
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Telephone | 724-654-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD068307L
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License Number State | PA
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