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General NPI Number Information
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NPI Number | 1508912627
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Entity Type | Individual
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Provider Name | JENNIFER GALLAGHER MSPT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | 105 WASHINGTON ST SUITE 10
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City | NORTH EASTON
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State | MA
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Zip | 02356-1100
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Country | US
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Telephone | 508-238-5600
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Fax | 508-238-5600
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Provider Business Mailing Address
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Address Line | 27 MEETINGHOUSE LN
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City | SOUTH EASTON
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State | MA
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Zip | 02375-1002
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Country | US
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Telephone | 508-297-1696
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10346
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License Number State | MA
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