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General NPI Number Information
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NPI Number | 1619159498
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Entity Type | Individual
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Provider Name | MS. CYNTHIA R GALLOWAY
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Gender | Female
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 433 EXETER DR
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City | BIRMINGHAM
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State | AL
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Zip | 35206-2845
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Country | US
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Telephone | 205-854-2772
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Fax | 205-854-5284
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Provider Business Mailing Address
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Address Line | 433 EXETER DR
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City | BIRMINGHAM
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State | AL
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Zip | 35206-2845
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Country | US
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Telephone | 205-854-2772
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Fax | 205-854-5284
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 1058231
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License Number State | AL
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