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General NPI Number Information
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NPI Number | 1720983729
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Entity Type | Individual
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Provider Name | BRIANNA J GALLEGOS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 101 HOSPITAL LOOP NE STE 105
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2100
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Country | US
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Telephone | 505-314-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 TENNESSEE ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3710
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Country | US
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Telephone | 505-269-9785
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1063418960
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License Number State | NM
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