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General NPI Number Information
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NPI Number | 1972592228
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Entity Type | Individual
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Provider Name | GLYNN WARD GALLOWAY JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR EVANGELICAL COMMUNITY HOSPITAL
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City | LEWISBURG
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State | PA
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Zip | 17837-9314
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Country | US
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Telephone | 570-522-2928
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Fax | 570-522-4171
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | MC EWENSVILLE
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State | PA
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Zip | 17749-0101
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Country | US
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Telephone | 570-713-9826
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN340134L
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License Number State | PA
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