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General NPI Number Information
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NPI Number | 1962163246
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Entity Type | Individual
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Provider Name | DR. VINNY GALA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 25 E WASHINGTON ST STE 1921
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City | CHICAGO
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State | IL
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Zip | 60602-1826
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Country | US
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Telephone | 773-692-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 10916 ASHTON AVE APT 404
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City | LOS ANGELES
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State | CA
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Zip | 90024-4871
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Country | US
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Telephone | 713-478-2663
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.033446
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License Number State | IL
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