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General NPI Number Information
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NPI Number | 1558348060
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Entity Type | Individual
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Provider Name | DONNA M GALLAGHER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 8268 164TH ST QUEEENS HOSPIAL CENTER-DEPT OF RADIOLOGY
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City | JAMAICA
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State | NY
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Zip | 11432-1121
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Country | US
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Telephone | 718-883-4400
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Fax | 718-883-6198
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Provider Business Mailing Address
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Address Line | 39 OCEAN AVE
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City | BREEZY POINT
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State | NY
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Zip | 11697-1110
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Country | US
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Telephone | 718-318-8595
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 195919
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License Number State | NY
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