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General NPI Number Information
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NPI Number | 1285482505
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Entity Type | Organization
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Legal Business Name | PETER GALLE ACUPUNCTURE
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Dates
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Enumeration Date | 05/10/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 566 S SAN VICENTE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-4650
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Country | US
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Telephone | 704-577-8657
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Fax | 213-283-5718
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Provider Business Mailing Address
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Address Line | 6322 W 6TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-4806
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Country | US
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Telephone | 704-577-8657
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER GALLE
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Credential | LAC
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Telephone | 704-577-8657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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