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NPI 1922787910

NPI 1922787910 : ZACHARY WILLIAM GALL DPT : BUTLER, PA

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General NPI Number Information
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    NPI Number           |    1922787910
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY WILLIAM GALL DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/17/2023
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    Last Update Date     |    07/17/2023
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Provider Practice Location Address
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    Address Line         |    601A PITTSBURGH RD 
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16002-4033
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    Country              |    US
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    Telephone            |    724-481-1141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    211 BELMONT RD 
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16001-2103
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    Country              |    US
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    Telephone            |    
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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       |    PT028436
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    License Number State |    PA
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