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NPI 1891863619

NPI 1891863619 : R C GALUTIA INC : WHEELER, TX

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General NPI Number Information
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    NPI Number           |    1891863619
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    Entity Type          |    Organization 
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    Legal Business Name  |    R C GALUTIA INC 
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Dates
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    Enumeration Date     |    12/01/2006
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    Last Update Date     |    04/05/2010
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Provider Practice Location Address
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    Address Line         |    309 E 9TH 
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    City                 |    WHEELER
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    State                |    TX
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    Zip                  |    79096
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    Country              |    US
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    Telephone            |    806-826-3581
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    Fax                  |    806-826-5279
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Provider Business Mailing Address
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    Address Line         |    309 E 9TH PO BOX 159
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    City                 |    WHEELER
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    State                |    TX
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    Zip                  |    79096
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    Country              |    US
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    Telephone            |    806-826-3581
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    Fax                  |    806-826-5279
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ROBERT C GALUTIA 
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    Credential           |    MD
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    Telephone            |    806-826-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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