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General NPI Number Information
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NPI Number | 1538303326
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Entity Type | Individual
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Provider Name | MELISSA R GALLAGHER M.S., CNHP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 7005 4TH ST N SUITE 3
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City | ST. PETERSBURG
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State | FL
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Zip | 33702
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Country | US
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Telephone | 727-502-3464
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Fax |
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Provider Business Mailing Address
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Address Line | 7005 4TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33702-5909
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Country | US
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Telephone | 727-502-3464
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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Taxonomy #4
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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