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General NPI Number Information
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NPI Number | 1780980839
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Entity Type | Individual
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Provider Name | CHARLES J GALECKI MPT
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Gender | Male
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 1935 S FEDERAL HWY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6967
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Country | US
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Telephone | 561-369-5575
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Fax | 561-369-5575
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Provider Business Mailing Address
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Address Line | 2222 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-7958
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Country | US
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Telephone | 610-991-2034
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Fax | 610-438-2046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT1384
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License Number State | FL
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