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NPI 1336863604

NPI 1336863604 : GALINI, LLC : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1336863604
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    Entity Type          |    Organization 
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    Legal Business Name  |    GALINI, LLC 
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Dates
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    Enumeration Date     |    09/30/2022
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    Last Update Date     |    09/30/2022
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Provider Practice Location Address
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    Address Line         |    7550 GRANBY ST STE 50B 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23505-3445
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    Country              |    US
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    Telephone            |    956-335-6476
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    Fax                  |    561-828-8367
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Provider Business Mailing Address
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    Address Line         |    9671 28TH BAY ST 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23518-1910
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    Country              |    US
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    Telephone            |    561-275-2020
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    Fax                  |    561-828-8367
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Authorized Official
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    Title or Position    |    MANAGED CARE MANAGER
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    Name                 |     DANIEL  GARZA 
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    Credential           |    
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    Telephone            |    956-335-6476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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