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General NPI Number Information
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NPI Number | 1154052702
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Entity Type | Individual
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Provider Name | CAITLYN M GALLAHER AUD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1407 EISENHOWER BLVD STE 104
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3262
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Country | US
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Telephone | 814-809-8988
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Fax | 814-703-9263
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Provider Business Mailing Address
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Address Line | 1407 EISENHOWER BLVD STE 104
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3262
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Country | US
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Telephone | 814-809-8988
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Fax | 814-703-9263
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AT006815
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006815
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License Number State | PA
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