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General NPI Number Information
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NPI Number | 1588055420
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Entity Type | Individual
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Provider Name | AARON R GALLEGOS AGAC NP
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Gender | Male
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LN STE 610
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-345-7398
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Fax | 214-345-4264
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Provider Business Mailing Address
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Address Line | PO BOX 35629
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City | DALLAS
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State | TX
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Zip | 75235-0629
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Country | US
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Telephone | 214-424-2200
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Fax | 214-231-2159
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP127272
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | AP127272
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License Number State | TX
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