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General NPI Number Information
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NPI Number | 1033656616
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Entity Type | Individual
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Provider Name | WILLIAM J GALESE LIFEGUARD-E.M.T.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1839 COUNTY RD 565
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City | GLENWOOD
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State | NJ
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Zip | 07418-1048
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Country | US
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Telephone | 609-200-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 15694 STATE ROUTE 193
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City | MANNSVILLE
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State | NY
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Zip | 13661
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Country | US
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Telephone | 609-200-0480
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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