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General NPI Number Information
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NPI Number | 1558433086
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Entity Type | Individual
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Provider Name | DOROTHY K GALLAWAY CFNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1350 BOULEVARD SE
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City | ATLANTA
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State | GA
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Zip | 30315-3016
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Country | US
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Telephone | 404-635-1300
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Fax | 404-635-1320
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Provider Business Mailing Address
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Address Line | 393 PATTERSON AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1652
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Country | US
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Telephone | 404-378-7698
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN058116 NP
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License Number State | GA
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