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General NPI Number Information
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NPI Number | 1689817702
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Entity Type | Individual
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Provider Name | JOHN D. GALLE PHARMD, MBA, BCPP
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Gender | Male
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 307 BRELLINGER ST
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City | COLUMBIA
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State | IL
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Zip | 62236-3815
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Country | US
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Telephone | 618-708-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 5314 VALLARTA DR
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City | SAINT LOUIS
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State | MO
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Zip | 63128-3516
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2007023994
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH.03234119-2
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 017850
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 051.292388
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 2007023994
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.292388
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License Number State | IL
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