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Individual
FREDERICK PALMER
Active
Individual
FREDERICK PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
247200000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8302
NONE
—
01
—
8308
NONE
TX
Enumeration date
05/10/2022
Last updated
05/10/2022
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