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General NPI Number Information
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NPI Number | 1538161179
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Entity Type | Individual
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Provider Name | WILLIAM P. GALLAGHER JR. DC
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 8712 E VIA DE COMMERCIO STE 9
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3362
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Country | US
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Telephone | 480-664-6644
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Fax | 480-664-6742
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Provider Business Mailing Address
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Address Line | 8712 E VIA DE COMMERCIO STE 9
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3362
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Country | US
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Telephone | 480-664-6644
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Fax | 480-664-6742
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4692
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License Number State | AZ
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