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General NPI Number Information
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NPI Number | 1043209737
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Entity Type | Individual
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Provider Name | KATHLEEN ANN GALLION AU D
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Gender | Female
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 8468 HERRING RUN RD
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City | SEAFORD
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State | DE
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Zip | 19973-5763
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Country | US
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Telephone | 302-629-3400
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Fax | 302-629-5300
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Provider Business Mailing Address
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Address Line | 9 CANDYTUFT LN
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City | OCEAN PINES
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State | MD
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Zip | 21811-2050
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Country | US
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Telephone | 443-496-0930
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 02-0000155
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 03-0000229
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License Number State | DE
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