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General NPI Number Information
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NPI Number | 1326777186
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Entity Type | Individual
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Provider Name | KAREN ANNE ALMEDA GALLARDO DPT
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Gender | Female
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 3339 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48083-5454
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Country | US
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Telephone | 248-918-4966
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Fax | 248-918-4948
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Provider Business Mailing Address
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Address Line | 426 RYAN RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-6683
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Country | US
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Telephone | 734-846-0836
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501021520
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License Number State | MI
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