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General NPI Number Information
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NPI Number | 1710207196
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Entity Type | Individual
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Provider Name | GREGORY MARK GALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 15 W SIDE AVE
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City | EAST QUOGUE
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State | NY
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Zip | 11942-4102
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Country | US
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Telephone | 646-450-2454
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Fax | 347-287-6867
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-244-3688
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Fax | 347-287-6867
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME134844
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 273577
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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