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General NPI Number Information
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NPI Number | 1689932238
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Entity Type | Organization
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Legal Business Name | OFRA GAL INC.
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 2659 CARAMBOLA CIR N APT 204
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2415
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Country | US
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Telephone | 954-979-0087
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Fax | 954-975-0604
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Provider Business Mailing Address
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Address Line | 2659 CARAMBOLA CIR N APT 204
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2415
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Country | US
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Telephone | 954-979-0087
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Fax | 954-975-0604
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Authorized Official
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Title or Position | PTA
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Name | MS. OFRA GAL
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Credential |
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Telephone | 954-242-8043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PTA12559
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License Number State | FL
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