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General NPI Number Information
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NPI Number | 1972938181
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Entity Type | Individual
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Provider Name | MARY E GALVIN H.A.S.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 10/16/2021
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Provider Practice Location Address
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Address Line | 1400 PALM BAY RD SUITE C
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City | PALM BAY
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State | FL
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Zip | 32905-3851
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Country | US
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Telephone | 321-576-1233
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Fax | 321-576-1235
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Provider Business Mailing Address
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Address Line | 1400 PALM BAY RD SUITE C
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City | PALM BAY
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State | FL
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Zip | 32905-3851
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Country | US
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Telephone | 321-723-0033
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Fax | 321-723-0016
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 4887
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License Number State | FL
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