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General NPI Number Information
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NPI Number | 1023321692
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Entity Type | Individual
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Provider Name | SUZANNE GALLAGHER NP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 8 E 3RD ST
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City | NEW YORK
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State | NY
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Zip | 10003-8908
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Country | US
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Telephone | 212-533-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 293 JELLIFF MILL RD
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City | NEW CANAAN
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State | CT
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Zip | 06840-6513
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Country | US
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Telephone | 917-232-8044
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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 | 401315
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License Number State | NY
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