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General NPI Number Information
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NPI Number | 1255954368
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Entity Type | Individual
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Provider Name | SEAN MICHAEL GALLAGHER
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Gender | Male
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4212 OLD WILLIAM PENN HWY
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1901
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Country | US
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Telephone | 724-837-4070
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Fax | 724-837-3316
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Provider Business Mailing Address
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Address Line | PO BOX 603725
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City | CHARLOTTE
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State | NC
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Zip | 28260-3725
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Country | US
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Telephone | 828-575-2625
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Fax | 828-350-2174
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD482451
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License Number State | PA
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