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General NPI Number Information
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NPI Number | 1881548923
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Entity Type | Individual
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Provider Name | SHAWN PATRICK GALLAGHER
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Gender | Male
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 3105 MAIN ST
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City | MARLETTE
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State | MI
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Zip | 48453-1508
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Country | US
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Telephone | 989-635-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 2475 BARNES RD
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City | NORTH BRANCH
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State | MI
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Zip | 48461-8740
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Country | US
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Telephone | 810-358-3294
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501304367
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License Number State | MI
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