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General NPI Number Information
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NPI Number | 1811998123
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Entity Type | Individual
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Provider Name | RALPH CHARLES GALL III NP
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 121 MONTICELLO RD
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City | WEAVERVILLE
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State | NC
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Zip | 28787-8931
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Country | US
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Telephone | 828-298-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 91 OAK HOLLOW DR
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City | ASHEVILLE
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State | NC
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Zip | 28805-8758
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Country | US
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Telephone | 828-989-4190
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Fax | 602-222-2739
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5004046
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License Number State | NC
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