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General NPI Number Information
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NPI Number | 1003837717
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Entity Type | Individual
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Provider Name | JOHN PATRICK GALEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 7870W US HIGHWAY 2
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City | MANISTIQUE
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State | MI
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Zip | 49854-8992
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Country | US
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Telephone | 906-341-2153
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Fax | 906-341-3299
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Provider Business Mailing Address
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Address Line | 7870W US HIGHWAY 2
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City | MANISTIQUE
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State | MI
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Zip | 49854-8992
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17002
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License Number State | WV
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