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General NPI Number Information
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NPI Number | 1508966425
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Entity Type | Organization
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Legal Business Name | KENNETH E. GALE, MD, PC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 1200 E GENESEE ST SUITE 211
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City | SYRACUSE
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State | NY
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Zip | 13210-1968
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Country | US
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Telephone | 315-476-5388
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Fax | 315-476-5389
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Provider Business Mailing Address
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Address Line | 1001 W FAYETTE ST SUITE 400
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City | SYRACUSE
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State | NY
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Zip | 13204-2859
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Country | US
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Telephone | 315-472-1488
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Fax | 315-476-1792
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | KENNETH E GALE
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Credential | MD
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Telephone | 315-476-5388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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