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General NPI Number Information
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NPI Number | 1578577433
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Entity Type | Organization
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Legal Business Name | GALLOWAY THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 9280 HAMMOCKS BLVD SUITE 106
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City | MIAMI
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State | FL
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Zip | 33196-1507
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Country | US
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Telephone | 305-934-6454
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Fax | 786-362-5295
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Provider Business Mailing Address
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Address Line | 9280 HAMMOCKS BLVD SUITE 106
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City | MIAMI
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State | FL
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Zip | 33196-1507
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Country | US
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Telephone | 305-934-6454
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Fax | 305-756-9527
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. ERNESTO ANTONIO PEREZ
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Credential | B.A.
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Telephone | 305-934-6454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | FL
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