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General NPI Number Information
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NPI Number | 1760746945
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Entity Type | Organization
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Legal Business Name | GALLAGHER KOSTER A DIVISION OF ARTHUR J. GALLAGHER RISK MANAGEMENT SER
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 500 VICTORY RD
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City | QUINCY
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State | MA
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Zip | 02171-3139
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Country | US
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Telephone | 800-457-5599
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Fax | 617-479-0860
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Provider Business Mailing Address
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Address Line | 500 VICTORY RD
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City | QUINCY
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State | MA
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Zip | 02171-3139
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Country | US
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Telephone | 800-457-5599
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Fax | 617-479-0860
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Authorized Official
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Title or Position | DIRECTOR, CUSTOMER SERVICE & ENROLL
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Name | MR. JONATHAN D LAMOUREUX
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Credential |
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Telephone | 617-769-6426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 1808912
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License Number State | MA
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