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General NPI Number Information
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NPI Number | 1295923910
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Entity Type | Individual
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Provider Name | JULIE HELEN GALLO PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 8035 PROVIDENCE RD STE 106
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City | CHARLOTTE
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State | NC
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Zip | 28277-9716
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Country | US
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Telephone | 704-848-6260
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Fax | 704-997-1395
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Provider Business Mailing Address
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Address Line | 7845 COLONY ROAD STE C4 #208
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City | CHARLOTTE
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State | NC
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Zip | 28226
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Country | US
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Telephone | 704-848-6260
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Fax | 704-997-1395
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001008612
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-08612
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License Number State | NC
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