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General NPI Number Information
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NPI Number | 1659962330
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Entity Type | Individual
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Provider Name | MEGAN PATRICIA GALLAGHER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 20 WALNUT ST STE B
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City | MONTGOMERY
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State | NY
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Zip | 12549-2261
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Country | US
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Telephone | 845-457-5555
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Fax | 845-414-6952
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Provider Business Mailing Address
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Address Line | 16 MAYBROOK RD STE A
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City | CAMPBELL HALL
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State | NY
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Zip | 10916-2741
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Country | US
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Telephone | 845-636-4344
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Fax | 845-636-4355
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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 | 046998
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License Number State | NY
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