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NPI Code Detail

MEDICARE: OLIVIA PALMISANO R.D.

MEDICARE: OLIVIA PALMISANO R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian8140OH

General Provider Information

NPI Number : 1831631936
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA PALMISANO R.D.
Provider Business Mailing Address
First Line : 2141 OVERLOOK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-5995
Country : US
Telephone Number : 651-645-5323
Fax Number :
Provider Business Practice Location Address
First Line : 2141 OVERLOOK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-5995
Country : US
Telephone Number : 651-645-5323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2016
Last Update Date : 11/07/2016

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Directions to “ OLIVIA PALMISANO R.D.” Practice Location

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