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General NPI Number Information
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NPI Number | 1316635113
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Entity Type | Individual
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Provider Name | VERA SOPHIA GALE
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Gender | Female
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 103 E BEAVER AVE STE 2
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4969
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Country | US
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Telephone | 208-398-9858
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Fax |
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Provider Business Mailing Address
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Address Line | 425 WAUPELANI DR APT 227
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City | STATE COLLEGE
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State | PA
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Zip | 16801-4554
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Country | US
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Telephone | 208-398-9858
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Fax | 801-373-0639
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13966304-3502
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW141929
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License Number State | PA
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