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General NPI Number Information
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NPI Number | 1043701402
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Entity Type | Individual
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Provider Name | STEPHANY FRAZIER GALLAGHER LSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 2100 FERRY ST
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City | EASTON
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State | PA
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Zip | 18042-3815
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Country | US
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Telephone | 610-250-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 402 NEWLINS RD E
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City | EASTON
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State | PA
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Zip | 18040-7239
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Country | US
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Telephone | 570-971-0259
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW010243L
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License Number State | PA
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