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General NPI Number Information
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NPI Number | 1790607802
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Entity Type | Organization
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Legal Business Name | GALLUP COMMUNITY HEALTH
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 10 N. SANDY SPRINGS RD
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City | ZUNI
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State | NM
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Zip | 87327
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Country | US
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Telephone | 505-397-5172
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 COLLEGE DR
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City | GALLUP
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State | NM
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Zip | 87301-5600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VALORY ELIZABETH WANGLER
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Credential | MD
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Telephone | 206-861-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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