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General NPI Number Information
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NPI Number | 1780738724
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Entity Type | Organization
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Legal Business Name | GALSTER'S ORTHOPEDIC LABORATORIES, INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2407 S CHERRY ST
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City | PINE BLUFF
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State | AR
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Zip | 71601-6443
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Country | US
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Telephone | 870-536-2171
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Fax | 870-536-2183
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Provider Business Mailing Address
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Address Line | 2407 S CHERRY ST
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City | PINE BLUFF
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State | AR
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Zip | 71601-6443
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Country | US
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Telephone | 870-536-2171
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Fax | 870-536-2183
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GABRIEL M. GALSTER
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Credential | C.P, B.O.C.P.
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Telephone | 870-536-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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