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General NPI Number Information
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NPI Number | 1073848636
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Entity Type | Individual
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Provider Name | NEAL GALEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 1820 W MARYLAND AVE SUITE 4
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City | PHOENIX
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State | AZ
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Zip | 85015-1740
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Country | US
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Telephone | 602-246-4917
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Fax | 602-246-1432
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Provider Business Mailing Address
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Address Line | 1728 WEST GLENDALE AVENUE SUITE #103
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City | PHOENIX
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State | AZ
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Zip | 85021-8862
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Country | US
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Telephone | 602-246-4917
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Fax | 602-246-1432
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1760
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License Number State | AZ
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