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General NPI Number Information
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NPI Number | 1467797506
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Entity Type | Organization
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Legal Business Name | JAMES A GALL, PH.D., PLLC
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 950 W AVON RD STE 3
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2761
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Country | US
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Telephone | 810-543-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W AVON RD STE 3
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2761
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Country | US
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Telephone | 810-543-1050
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JAMES ANDREW GALL
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Credential | PH.D.
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Telephone | 810-543-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6301011878
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License Number State | MI
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