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General NPI Number Information
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NPI Number | 1316150592
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Entity Type | Organization
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Legal Business Name | MARTHA M GALLIA OD PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 9810 FM 1960 BYPASS RD W STE 250
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City | HUMBLE
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State | TX
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Zip | 77338-3502
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Country | US
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Telephone | 281-446-9333
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Fax | 281-446-6143
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Provider Business Mailing Address
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Address Line | 9810 FM 1960 BYPASS RD W STE 250
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City | HUMBLE
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State | TX
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Zip | 77338-3502
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Country | US
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Telephone | 281-446-9333
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Fax | 281-446-6143
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTHA M GALLIA
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Credential | OD
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Telephone | 281-446-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G7433
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License Number State | TX
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