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General NPI Number Information
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NPI Number | 1932880119
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Entity Type | Organization
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Legal Business Name | ALICE PALMERI, LMT LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 1340 SW BERTHA BLVD STE 200
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City | PORTLAND
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State | OR
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Zip | 97219-2172
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Country | US
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Telephone | 503-244-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 5126 SW MARIGOLD ST
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City | PORTLAND
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State | OR
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Zip | 97219-5031
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Country | US
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Telephone | 503-515-7377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ALICE PALMERI
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Credential | LMT
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Telephone | 503-515-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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