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General NPI Number Information
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NPI Number | 1881014843
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Entity Type | Individual
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Provider Name | VANESSA GALLEGOS-KEARIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 2328 CITADEL WAY STE 103
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City | MELBOURNE
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State | FL
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Zip | 32940-6192
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Country | US
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Telephone | 305-431-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 4450 W EAU GALLIE BLVD STE 250
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City | MELBOURNE
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State | FL
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Zip | 32934-7215
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Country | US
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Telephone | 321-751-6671
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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 | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME148167
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License Number State | FL
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