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General NPI Number Information
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NPI Number | 1447676309
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Entity Type | Individual
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Provider Name | MS. MICHELLE GALAUSKI
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Gender | Female
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 2100 NAPA VALLEJO HWY BLDG 253 M-1
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City | NAPA
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State | CA
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Zip | 94558-6234
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Country | US
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Telephone | 707-267-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 PACIFIC AVE APT 32
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City | SANTA ROSA
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State | CA
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Zip | 95404-3459
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Country | US
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Telephone | 707-703-6625
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | CA
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