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General NPI Number Information
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NPI Number | 1902384969
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Entity Type | Organization
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Legal Business Name | GALEN MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1411 EXPO PKWY STE 140
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City | SACRAMENTO
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State | CA
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Zip | 95815-4239
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Country | US
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Telephone | 916-346-4219
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Fax | 916-426-5757
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Provider Business Mailing Address
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Address Line | PO BOX 161959
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City | SACRAMENTO
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State | CA
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Zip | 95816-1959
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Country | US
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Telephone | 916-346-4219
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Fax | 916-426-5757
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. GALEN CHURCH
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Credential | DO
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Telephone | 916-346-4219
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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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