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General NPI Number Information
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NPI Number | 1316671530
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Entity Type | Organization
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Legal Business Name | DR. HANNAH GALE
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 506 BLAKE ST STE 2
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City | NEW HAVEN
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State | CT
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Zip | 06515-1287
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Country | US
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Telephone | 203-691-6798
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Fax | 475-238-8305
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Provider Business Mailing Address
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Address Line | 234 SOUNDVIEW AVE
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City | FAIRFIELD
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State | CT
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Zip | 06825-4242
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Country | US
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Telephone | 203-562-2275
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Fax |
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Authorized Official
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Title or Position | CLINIC HEAD
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Name | DR. HANNAH GALE
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Credential | ND
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Telephone | 203-691-6798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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