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General NPI Number Information
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NPI Number | 1285503276
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Entity Type | Individual
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Provider Name | KIMBERLY GALLAGHER
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 900 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2471
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Country | US
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Telephone | 772-419-0505
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Fax | 800-419-1224
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Provider Business Mailing Address
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Address Line | 2434 OAK DR
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City | HUTCHINSON ISLAND
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State | FL
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Zip | 34949-1535
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Country | US
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Telephone | 732-232-1873
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN11043140
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License Number State | FL
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