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General NPI Number Information
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NPI Number | 1811902232
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Entity Type | Individual
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Provider Name | JOSEPH RONALD GIALLO ED.D
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 820 BAY AVE 208A
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City | CAPITOLA
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State | CA
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Zip | 95010-2140
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Country | US
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Telephone | 831-475-1323
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Fax | 831-477-2034
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Provider Business Mailing Address
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Address Line | 820 BAY AVE 208
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City | CAPITOLA
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State | CA
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Zip | 95010-2140
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Country | US
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Telephone | 831-475-1323
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Fax | 831-477-2034
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY15522
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY15522
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY15522
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | PSY15522
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License Number State | CA
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