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General NPI Number Information
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NPI Number | 1386848836
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Entity Type | Organization
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Legal Business Name | JOHN E. GALLEHR, MD P.S.C.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 8013 NEW LAGRANGE RD SUITE # 1
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City | LOUISVILLE
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State | KY
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Zip | 40222-4700
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Country | US
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Telephone | 502-727-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 8013 NEW LAGRANGE RD SUITE # 1
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City | LOUISVILLE
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State | KY
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Zip | 40222-4700
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Country | US
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Telephone | 502-727-7759
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ERIC GALLEHR
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Credential | M.D.
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Telephone | 502-727-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 29766
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 29766
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License Number State | KY
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