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General NPI Number Information
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NPI Number | 1992045900
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Entity Type | Organization
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Legal Business Name | AXELL F PALMA MD LLC
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 7821 CORAL WAY 101
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City | MIAMI
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State | FL
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Zip | 33155-6542
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Country | US
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Telephone | 786-355-9576
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Fax | 305-261-1997
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Provider Business Mailing Address
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Address Line | 7821 CORAL WAY 101
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City | MIAMI
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State | FL
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Zip | 33155-6542
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Country | US
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Telephone | 786-355-9576
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. AXELL F PALMA
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Credential | M.D.
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Telephone | 786-355-9576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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