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General NPI Number Information
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NPI Number | 1992523864
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Entity Type | Individual
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Provider Name | BRITTANY DAWN PALERMO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 600 LELIA WING B, OFFICE #4
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City | MAGNOLIA
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State | AR
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Zip | 71753
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Country | US
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Telephone | 870-340-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 1741 LAFAYETTE 27
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City | STAMPS
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State | AR
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Zip | 71860-9011
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Country | US
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Telephone | 870-904-8169
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 230574
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License Number State | AR
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