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General NPI Number Information
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NPI Number | 1013329671
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Entity Type | Individual
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Provider Name | MELISSA GALLAGHER
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 680 PLACERVILLE DR. SUITE A2
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City | PLACERVILLE
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State | CA
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Zip | 95667
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Country | US
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Telephone | 916-266-1418
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Fax | 530-903-3434
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Provider Business Mailing Address
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Address Line | 1910 CABLE RD.
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City | CAMINO
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State | CA
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Zip | 95709
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Country | US
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Telephone | 916-266-1418
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Fax | 530-903-3434
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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