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General NPI Number Information
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NPI Number | 1699348060
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Entity Type | Individual
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Provider Name | MRS. JUDY ANN GALIPEAN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 751 ALDER ST
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City | BEAUMONT
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State | CA
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Zip | 92223-7101
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Country | US
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Telephone | 951-312-0555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1477
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City | VICTORVILLE
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State | CA
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Zip | 92393-1477
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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