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General NPI Number Information
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NPI Number | 1477800969
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Entity Type | Individual
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Provider Name | DIANA GALLOWAY RN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 1394 PEBBLE RIDGE LN
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6611
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Country | US
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Telephone | 425-825-1602
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Fax | 561-514-1966
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Provider Business Mailing Address
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Address Line | 1394 PEBBLE RIDGE LANE
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 425-825-1602
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Fax | 561-514-1966
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | RN 9234536
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License Number State | FL
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