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General NPI Number Information
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NPI Number | 1952645087
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Entity Type | Individual
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Provider Name | CAROLYN LEIGH GALLAGHER CNM, APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1031 BELLEVUE AVE STE 400
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1858
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Country | US
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Telephone | 314-977-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 CLAYTON RD SUITE 290
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 11132674
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 2015026430
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License Number State | MO
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