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General NPI Number Information
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NPI Number | 1588225387
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Entity Type | Individual
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Provider Name | BRANDY GALLOWAY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 463 SECOND ST
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City | AYDEN
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State | NC
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Zip | 28513-7179
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Country | US
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Telephone | 252-651-5628
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Fax | 252-290-6622
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Provider Business Mailing Address
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Address Line | PO BOX 133
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City | AYDEN
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State | NC
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Zip | 28513-0133
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Country | US
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Telephone | 252-651-5628
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Fax | 252-290-6622
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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 | 5011886
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License Number State | NC
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