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General NPI Number Information
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NPI Number | 1134775422
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Entity Type | Individual
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Provider Name | KALI RENEA GALLAHER RD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 915-569-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 130 MONTECILLO BLVD APT 1112
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City | EL PASO
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State | TX
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Zip | 79912-4933
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Country | US
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Telephone | 614-205-7148
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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