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General NPI Number Information
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NPI Number | 1689693475
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Entity Type | Individual
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Provider Name | JEFFREY J GALVAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1300 FRANKLIN AVE SUITE 330
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City | NORMAL
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State | IL
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Zip | 61761-3592
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Country | US
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Telephone | 309-454-7400
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Fax | 309-454-7400
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Provider Business Mailing Address
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Address Line | 21110 N 1975 EAST RD
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City | TOWANDA
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State | IL
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Zip | 61776-9330
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Country | US
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Telephone | 309-728-8081
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036087950
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License Number State | IL
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