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NPI 1326161233

NPI 1326161233 : STEVE GALLINA : WOODBRIDGE, NJ

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General NPI Number Information
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    NPI Number           |    1326161233
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE GALLINA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    07/01/2010
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Provider Practice Location Address
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    Address Line         |    676 AMBOY AVE 
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    City                 |    WOODBRIDGE
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    State                |    NJ
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    Zip                  |    07095-3158
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    Country              |    US
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    Telephone            |    732-750-0011
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    Fax                  |    732-750-1177
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Provider Business Mailing Address
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    Address Line         |    676 AMBOY AVE 
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    City                 |    WOODBRIDGE
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    State                |    NJ
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    Zip                  |    07095-3158
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    Country              |    US
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    Telephone            |    
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    111NI0013X
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    Taxonomy Name        |    Independent Medical Examiner Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    111NN0400X
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    Taxonomy Name        |    Neurology Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #4
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    Taxonomy Code        |    111NR0400X
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    Taxonomy Name        |    Rehabilitation Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #5
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #6
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    Taxonomy Code        |    111NX0100X
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    Taxonomy Name        |    Occupational Health Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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Taxonomy #7
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    Taxonomy Code        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    38MC00286800
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    License Number State |    NJ
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