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General NPI Number Information
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NPI Number | 1891967352
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Entity Type | Organization
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Legal Business Name | THE GALLO CENTER, LLC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 95 CAMSHIRE CT
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City | BLACKLICK
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State | OH
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Zip | 43004-9438
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Country | US
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Telephone | 614-632-1986
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 361193
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City | COLUMBUS
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State | OH
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Zip | 43236-1193
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Country | US
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Telephone | 614-902-8978
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MILDRED GALLOWAY
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Credential |
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Telephone | 614-902-8978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2798503
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License Number State | OH
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