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General NPI Number Information
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NPI Number | 1326213950
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Entity Type | Individual
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Provider Name | SUSAN M GALLANT-BEHAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 50 FOX RUN RD STE 103
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City | NEWINGTON
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State | NH
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Zip | 03801-2860
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Country | US
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Telephone | 603-828-9601
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Fax | 603-828-9601
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | HAMPTON FALLS
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State | NH
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Zip | 03844-0056
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Country | US
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Telephone | 603-235-3009
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0716
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License Number State | NH
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