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General NPI Number Information
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NPI Number | 1972542280
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Entity Type | Individual
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Provider Name | THOMAS J GALLAGHER DO
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 901 ROUTE 168 WASHINGTON PROFESSIONAL CAMPUS II, SUITES 301-305
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-3210
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Country | US
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Telephone | 856-374-4031
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Fax | 856-232-9139
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Provider Business Mailing Address
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Address Line | 901 ROUTE 168 WASHINGTON PROFESSIONAL CAMPUS II, SUITES 301-305
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-3210
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Country | US
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Telephone | 856-374-4031
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Fax | 856-232-9139
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MB07834500
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License Number State | NJ
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