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General NPI Number Information
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NPI Number | 1598137143
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Entity Type | Organization
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Legal Business Name | PATRICK R. GALLAGHER III, D.D.S, P.A
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 715 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6105
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Country | US
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Telephone | 410-848-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 715 BALTIMORE BLVD
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City | WESTMINSTER
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State | MD
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Zip | 21157-6105
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Country | US
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Telephone | 410-848-3866
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BEATE STANLEY
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Credential |
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Telephone | 410-848-3866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6997
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12402
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License Number State | MD
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