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General NPI Number Information
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NPI Number | 1780547257
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Entity Type | Organization
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Legal Business Name | GALA MEDICAL & HEALTH CARE LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1570 LONGVIEW CIR
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City | MONUMENT
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State | CO
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Zip | 80132-8060
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Country | US
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Telephone | 720-318-4953
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Fax | 570-260-9943
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Provider Business Mailing Address
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Address Line | 1570 LONGVIEW CIR
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City | MONUMENT
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State | CO
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Zip | 80132-8060
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Country | US
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Telephone | 720-318-4953
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Fax | 570-260-9943
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Authorized Official
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Title or Position | OWNER
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Name | PETER GALA JR.
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Credential | PMHNP-BC, FNP-C
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Telephone | 720-318-4953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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