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General NPI Number Information
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NPI Number | 1629282181
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Entity Type | Organization
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Legal Business Name | LILIANA GALAN MD LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 108 NEW LONDON TPKE
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City | NORWICH
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State | CT
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Zip | 06360-2645
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Country | US
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Telephone | 860-886-5588
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Fax | 860-886-5535
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Provider Business Mailing Address
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Address Line | 108 NEW LONDON TPKE
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City | NORWICH
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State | CT
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Zip | 06360-2645
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Country | US
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Telephone | 860-886-5588
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Fax | 860-886-5535
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Authorized Official
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Title or Position | OWNER
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Name | LILIANA GALAN
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Credential | MD
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Telephone | 860-886-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 034900
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License Number State | CT
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