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General NPI Number Information
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NPI Number | 1104067594
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Entity Type | Organization
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Legal Business Name | ERIC A GALLA CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 9330 W FLAMINGO RD STE 112A
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City | LAS VEGAS
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State | NV
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Zip | 89147-6447
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Country | US
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Telephone | 702-932-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 9330 W FLAMINGO RD STE 112A
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City | LAS VEGAS
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State | NV
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Zip | 89147-6447
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Country | US
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Telephone | 702-932-6100
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Fax | 702-932-6102
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. JULIANNE WATSON-GALLA
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Credential |
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Telephone | 760-274-3294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC22338
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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