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General NPI Number Information
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NPI Number | 1609071737
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Entity Type | Individual
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Provider Name | JOHN HUGH GALLAGHER M.S., P.T
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 605 MAIN ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-5914
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Country | US
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Telephone | 201-488-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 6 TERRY CT
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City | MONTVALE
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State | NJ
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Zip | 07645-2149
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Country | US
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Telephone | 201-391-3194
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 022787-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01307100
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License Number State | NJ
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