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General NPI Number Information
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NPI Number | 1497217806
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Entity Type | Individual
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Provider Name | OLIVIA WANG GALLOWAY MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 826 MAIN ST STE 203
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4459
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Country | US
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Telephone | 610-983-1980
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13579
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City | READING
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State | PA
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Zip | 19612-3579
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Country | US
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Telephone | 484-628-1324
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD479370
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023050639
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License Number State | MO
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