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General NPI Number Information
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NPI Number | 1225741341
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Entity Type | Individual
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Provider Name | ASHLEY J GALLAGHER MA, AMFT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 1346 4TH ST STE 202
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2860
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Country | US
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Telephone | 415-326-6354
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 PIERCE ST APT 422
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-5228
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Country | US
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Telephone | 415-302-2064
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 136376
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License Number State | CA
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