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General NPI Number Information
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NPI Number | 1740918986
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Entity Type | Organization
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Legal Business Name | JAMES A. GALLO MD INC.
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 828 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2721
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Country | US
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Telephone | 401-615-3043
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8201
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City | CRANSTON
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State | RI
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Zip | 02920-0201
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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 | OFFICE MANAGER
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Name | BRIAN HARRINGTON
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Credential |
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Telephone | 401-935-2955
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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 |
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License Number State |
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