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General NPI Number Information
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NPI Number | 1427237833
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Entity Type | Organization
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Legal Business Name | LYNN H.GALEN, M.D.,P.C.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 96 GARLAND ST
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City | EVERETT
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State | MA
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Zip | 02149-5067
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Country | US
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Telephone | 781-640-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 29 ORCHARD ST
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City | MEDFORD
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State | MA
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Zip | 02155-4323
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Country | US
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Telephone | 781-391-0532
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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. LYNN H GALEN
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Credential | M.D.
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Telephone | 781-640-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 53139
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License Number State | MA
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