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General NPI Number Information
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NPI Number | 1053945212
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Entity Type | Individual
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Provider Name | ANGELIA MARIA REESE-GALLOWAY MSW, ASW, PH. D.-ABD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 3000 CITRUS CIR STE 220
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2665
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Country | US
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Telephone | 925-689-5811
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Fax | 925-429-9254
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Provider Business Mailing Address
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Address Line | 3000 CITRUS CIR STE 220
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2665
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Country | US
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Telephone | 925-689-5811
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Fax | 925-429-9254
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 90907
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License Number State | CA
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