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General NPI Number Information
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NPI Number | 1750499380
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Entity Type | Organization
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Legal Business Name | VINCENT GALIANO M D P A
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 8031 PHILIPS HWY #6
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4451
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Country | US
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Telephone | 904-737-6313
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Fax | 904-739-1302
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Provider Business Mailing Address
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Address Line | 8031 PHILIPS HWY #6
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4451
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Country | US
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Telephone | 904-737-6313
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Fax | 904-739-1302
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | KIMBERLY MASTERS
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Credential |
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Telephone | 904-737-6313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME78889
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License Number State | FL
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