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General NPI Number Information
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NPI Number | 1124288352
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Entity Type | Organization
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Legal Business Name | GREGORY R GALAKATOS MD LLC
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD SUITE 5015-B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone | 314-567-5850
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Fax | 314-395-2464
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 50308
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City | SAINT LOUIS
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State | MO
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Zip | 63105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. GREGORY R GALAKATOS
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Credential | MD
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Telephone | 314-567-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 110323
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License Number State | MO
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