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General NPI Number Information
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NPI Number | 1508846957
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Entity Type | Individual
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Provider Name | JOHN TIMOTHY GALLAGHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1205 LANGHORNE NEWTOWN RD SUITE102
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City | LANGHORNE
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State | PA
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Zip | 19047-1219
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Country | US
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Telephone | 215-757-3635
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Fax | 215-757-3999
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Provider Business Mailing Address
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Address Line | PO BOX 105
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City | FEASTERVILLE
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State | PA
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Zip | 19053-0105
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Country | US
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Telephone | 215-355-1155
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Fax | 215-355-7345
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 030244E
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License Number State | PA
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