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General NPI Number Information
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NPI Number | 1669662193
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Entity Type | Individual
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Provider Name | ANGELA GALASSO HUDSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 100 BRICK RD SUITE 215
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City | MARLTON
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State | NJ
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Zip | 08053-2146
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Country | US
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Telephone | 856-334-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 2 IRON GATE RD
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City | MARLTON
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State | NJ
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Zip | 08053-2475
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Country | US
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Telephone | 609-519-9392
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MC38004712
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License Number State | NJ
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