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General NPI Number Information
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NPI Number | 1902160278
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Entity Type | Individual
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Provider Name | ANGELA MARIE PALITTO D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2012
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 915 MICHIGAN ST
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City | SIDNEY
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State | OH
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Zip | 45365-2401
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Country | US
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Telephone | 937-498-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 STONE LAKE DR
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City | CENTERVILLE
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State | OH
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Zip | 45429-6053
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Country | US
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Telephone | 330-329-7980
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS19391
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 20A12894
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101024645
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.012269
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License Number State | OH
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