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General NPI Number Information
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NPI Number | 1982662011
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Entity Type | Individual
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Provider Name | KATHLEEN A. PALYO NP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 1700 E IRLO BRONSON MEMORIAL HWY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-5806
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Country | US
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Telephone | 407-891-2965
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Fax | 407-891-2966
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Provider Business Mailing Address
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Address Line | 1700 E IRLO BRONSON MEMORIAL HWY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-5806
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Country | US
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Telephone | 407-891-2965
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Fax | 407-891-2966
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000834A
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License Number State | IN
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