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General NPI Number Information
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NPI Number | 1215112412
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Entity Type | Organization
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Legal Business Name | GALE F COONEY DC PA
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 2410 LISENBY AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-3537
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Country | US
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Telephone | 850-785-9180
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Fax | 850-785-9322
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | PANAMA CITY
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State | FL
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Zip | 32402-0007
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Country | US
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Telephone | 850-785-9180
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Fax | 850-785-9322
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Authorized Official
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Title or Position | OWNER
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Name | DR. GALE FRANCES COONEY
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Credential | DC PA
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Telephone | 850-785-9180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0006540
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License Number State | FL
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