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General NPI Number Information
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NPI Number | 1649854795
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Entity Type | Individual
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Provider Name | HANNAH ELIZABETH GALLAGHER PT, DPT, CCRT
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 9062 W 1ST ST
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City | WELLINGTON
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State | CO
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Zip | 80549-2387
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Country | US
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Telephone | 970-662-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 N REDBUD DR
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City | LOVELAND
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State | CO
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Zip | 80538-3380
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Country | US
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Telephone | 970-786-6291
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0016108
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License Number State | CO
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