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General NPI Number Information
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NPI Number | 1821812793
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Entity Type | Individual
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Provider Name | AMY ELIZABETH GALLAGHER RN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3200 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45220-2213
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Country | US
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Telephone | 513-861-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 2397 HADDOCK DR
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-9625
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Country | US
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Telephone | 513-477-0238
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71017324A.
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | CNP.0038067
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License Number State | OH
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