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General NPI Number Information
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NPI Number | 1144566225
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Entity Type | Organization
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Legal Business Name | GALU ENTERPRISES INC
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 9475 ROOSEVELT BLVD STE 12
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2212
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Country | US
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Telephone | 215-969-5180
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Fax | 866-379-3198
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Provider Business Mailing Address
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Address Line | 9475 ROOSEVELT BLVD STE 12
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City | PHILADELPHIA
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State | PA
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Zip | 19114-2212
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Country | US
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Telephone | 215-969-5180
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Fax | 866-379-3198
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK LAWSON
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Credential |
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Telephone | 267-979-3948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP482144
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License Number State | PA
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