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General NPI Number Information
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NPI Number | 1932867769
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Entity Type | Individual
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Provider Name | HEATHER MARY GALLAGHER RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 30 HUNTER LN
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City | CAMP HILL
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State | PA
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Zip | 17011-2499
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Country | US
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Telephone | 800-748-3243
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Fax |
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Provider Business Mailing Address
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Address Line | 7A HORIZON DR
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City | LONDONDERRY
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State | NH
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Zip | 03053-3785
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Country | US
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Telephone | 978-835-7418
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 086712-21
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License Number State | NH
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