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General NPI Number Information
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NPI Number | 1780739086
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Entity Type | Organization
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Legal Business Name | SYLVIE M GALERNEAU, DMD
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 100 S ELLSWORTH AVE SUITE 601
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City | SAN MATEO
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State | CA
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Zip | 94401-3939
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Country | US
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Telephone | 650-342-9941
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Fax | 650-342-9545
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Provider Business Mailing Address
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Address Line | 100 S ELLSWORTH AVE SUITE 601
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City | SAN MATEO
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State | CA
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Zip | 94401-3939
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Country | US
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Telephone | 650-342-9941
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Fax | 650-342-9545
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Authorized Official
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Title or Position | DOCTOR
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Name | SYLVIE GALERNEAU
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Credential | DMD
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Telephone | 650-342-9941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 33766
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License Number State | CA
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