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General NPI Number Information
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NPI Number | 1265843098
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Entity Type | Organization
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Legal Business Name | SUMMER GALECKI APRN LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 850 WALLINGFORD RD
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City | CHESHIRE
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State | CT
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Zip | 06410-2939
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Country | US
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Telephone | 203-912-4507
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Fax | 877-852-2261
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Provider Business Mailing Address
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Address Line | 850 WALLINGFORD RD
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City | CHESHIRE
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State | CT
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Zip | 06410-2939
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Country | US
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Telephone | 203-912-4507
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Fax | 877-852-2261
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUMMER GALECKI
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Credential | APRN
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Telephone | 203-912-4507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 003270
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License Number State | CT
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