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General NPI Number Information
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NPI Number | 1659722833
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Entity Type | Individual
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Provider Name | EDWARD GALLO RPH
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 686 LIGHTHOUSE AVE
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City | MONTEREY
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State | CA
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Zip | 93940-1008
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Country | US
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Telephone | 831-655-5411
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Fax | 831-655-1147
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Provider Business Mailing Address
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Address Line | 777 BAYVIEW AVE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-2508
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Country | US
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Telephone | 831-710-2242
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Fax | 831-655-1147
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30489
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License Number State | CA
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