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General NPI Number Information
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NPI Number | 1548374721
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Entity Type | Organization
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Legal Business Name | GALL & CASTERLINE PC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 309 ROCK AVE
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City | GREEN BROOK
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State | NJ
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Zip | 08812-2616
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Country | US
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Telephone | 732-968-3900
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Fax | 732-968-3944
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Provider Business Mailing Address
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Address Line | PO BOX 948
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City | GREEN BROOK
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State | NJ
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Zip | 08812-0948
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Country | US
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Telephone | 732-968-3900
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Fax | 732-968-3944
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN A GALL
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Credential | D.C.
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Telephone | 908-510-8051
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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 | MC03899
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License Number State | NJ
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