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General NPI Number Information
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NPI Number | 1982187720
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Entity Type | Individual
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Provider Name | MELISSA ANNE GALKOWSKI SMITH PT
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 101 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4470
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Country | US
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Telephone | 256-265-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 939 MILLER BLVD
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City | MADISON
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State | AL
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Zip | 35758-1377
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Country | US
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Telephone | 615-796-8241
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7376
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH5446
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License Number State | AL
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