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General NPI Number Information
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NPI Number | 1548597388
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Entity Type | Individual
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Provider Name | EDGARDO GALERA ACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 203 SORRENTO LN
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-3174
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Country | US
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Telephone | 707-304-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 203 SORRENTO LN
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-3174
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Country | US
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Telephone | 707-304-2162
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704204247
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 19830
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License Number State | CA
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