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General NPI Number Information
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NPI Number | 1710236070
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Entity Type | Individual
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Provider Name | KATHLEEN D GALLAGHER LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2012
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Last Update Date | 09/02/2012
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Provider Practice Location Address
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Address Line | 7007 BRADLEY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-2149
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Country | US
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Telephone | 301-767-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 OAK RD OPTIONAL
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City | SEVERNA PARK
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State | MD
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Zip | 21146-3402
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Country | US
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Telephone | 410-903-9053
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06767
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007653
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License Number State | VA
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