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General NPI Number Information
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NPI Number | 1508672270
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Entity Type | Individual
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Provider Name | JOHN JOSEPH GALASSO DACHM
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 7749 E FLORENTINE RD STE B
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-1205
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Country | US
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Telephone | 480-438-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 E BROADWAY RD APT 2144
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City | TEMPE
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State | AZ
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Zip | 85282-1754
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Country | US
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Telephone | 480-438-1925
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | LAC-012218
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License Number State | AZ
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