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General NPI Number Information
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NPI Number | 1467873463
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Entity Type | Organization
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Legal Business Name | CHRIS GALLAGHER MD & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 1125 GREENWAY DR
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City | RICHARDSON
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State | TX
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Zip | 75080-6936
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Country | US
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Telephone | 972-977-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 GREENWAY DR
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City | RICHARDSON
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State | TX
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Zip | 75080-6936
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Country | US
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Telephone | 972-977-5933
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHRISTOPHER M GALLAGHER
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Credential | MD
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Telephone | 972-977-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M5175
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M5175
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License Number State | TX
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