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General NPI Number Information
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NPI Number | 1386997872
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Entity Type | Individual
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Provider Name | HEATHER MARTIN GALLEGO FNP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2012
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 101 AVENUE OF THE AMERICAS FL 8
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City | NEW YORK
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State | NY
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Zip | 10013-1905
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Country | US
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Telephone | 844-326-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 333 COMMERCE ST SUITE 700
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City | NASHVILLE
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State | TN
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Zip | 37201-1835
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Country | US
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Telephone | 631-278-3728
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340926
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License Number State | NY
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