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General NPI Number Information
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NPI Number | 1780147033
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Entity Type | Organization
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Legal Business Name | GALLAGHER EYE CARE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 53 S MAIN ST
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City | HANOVER
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State | NH
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Zip | 03755-2022
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Country | US
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Telephone | 603-643-2400
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Fax | 603-643-4962
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | GRANTHAM
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State | NH
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Zip | 03753-0510
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Country | US
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Telephone | 603-843-8097
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Fax | 603-643-4962
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOSEPH GALLAGHER
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Credential | OD
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Telephone | 617-275-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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