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General NPI Number Information
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NPI Number | 1962430017
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Entity Type | Individual
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Provider Name | JASON PATRICK PALMER DO
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 3325 SENN RD NAVAL BASE SAN DIEGO BLDG 291
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City | SAN DIEGO
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State | CA
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Zip | 92136-0001
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Country | US
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Telephone | 760-725-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 SHIRLEY CT
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City | LA MESA
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State | CA
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Zip | 91941-4266
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Country | US
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Telephone | 619-762-0104
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9605
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License Number State | CA
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