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General NPI Number Information
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NPI Number | 1801277553
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Entity Type | Individual
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Provider Name | JENNIFER GALLANGER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506-3702
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Country | US
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Telephone | 907-580-1297
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Fax |
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Provider Business Mailing Address
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Address Line | 9815 GRAVINA CIR
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City | EAGLE RIVER
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State | AK
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Zip | 99577-8716
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Country | US
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Telephone | 402-926-1284
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2250
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License Number State | AK
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