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General NPI Number Information
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NPI Number | 1255251948
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Entity Type | Individual
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Provider Name | JENNIFER GALLAGHER
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 9 CONSTITUTION RD
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City | KENNEBUNK
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State | ME
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Zip | 04043-7206
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Country | US
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Telephone | 617-818-5048
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CONSTITUTION RD
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City | KENNEBUNK
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State | ME
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Zip | 04043-7206
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH26375
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHCY-00979
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PR47034
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License Number State | ME
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