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General NPI Number Information
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NPI Number | 1134095045
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Entity Type | Individual
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Provider Name | EDWARD GALLO
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Gender | Male
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 6701 DEMOCRACY BLVD STE 300
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City | BETHESDA
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State | MD
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Zip | 20817-7500
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | 308 DEVON DR
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City | CHESTERTOWN
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State | MD
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Zip | 21620-3365
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Country | US
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Telephone | 443-326-7220
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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