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General NPI Number Information
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NPI Number | 1134244874
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE GALLATIG M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 1766 WILMINGTON PIKE
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City | GLEN MILLS
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State | PA
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Zip | 19342
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Country | US
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Telephone | 610-358-2778
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Fax | 610-358-3508
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Provider Business Mailing Address
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Address Line | 1766 WILMINGTON PIKE
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City | GLEN MILLS
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State | PA
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Zip | 19342
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Country | US
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Telephone | 610-358-2778
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Fax | 610-358-3508
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C7-000-3287
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MT 186719
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD434908
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License Number State | PA
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