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General NPI Number Information
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NPI Number | 1922038645
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Entity Type | Organization
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Legal Business Name | PORT TOWNSEND WOMENS CLINIC PLLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 1136 WATER ST SUITE 105
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-6728
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Country | US
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Telephone | 360-344-3700
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Fax | 360-344-3707
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Provider Business Mailing Address
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Address Line | PO BOX 1560
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-0052
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Country | US
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Telephone | 360-344-3700
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Fax | 360-344-3707
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROBERT HARDING PALMER JR.
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Credential | M.D.
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Telephone | 360-344-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 6024192145
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License Number State | WA
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