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General NPI Number Information
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NPI Number | 1568677136
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Entity Type | Individual
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Provider Name | MAUREEN THERESE GALLAGHER RN, MSN, MPH
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 2500 METROHEALTH DR
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City | CLEVELAND
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State | OH
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Zip | 44109
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Country | US
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Telephone | 216-965-2847
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 WARRINGTON RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-2425
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Country | US
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Telephone | 216-965-2847
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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 | NP 09408
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License Number State | OH
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