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General NPI Number Information
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NPI Number | 1750197026
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Entity Type | Individual
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Provider Name | MRS. DANIELLE JEANY GALLAGHER
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 970 BLOOMFIELD RD
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City | BARDSTOWN
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State | KY
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Zip | 40004-9708
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Country | US
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Telephone | 502-234-7800
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Fax | 502-470-7432
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Provider Business Mailing Address
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Address Line | 181 SONORA NOLIN RD
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City | SONORA
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State | KY
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Zip | 42776-9352
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Country | US
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Telephone | 270-996-2599
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 258086
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License Number State | KY
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