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NPI 1992817951

NPI 1992817951 : DANIEL L. GALL MD : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1992817951
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL L. GALL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    02/27/2008
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Provider Practice Location Address
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    Address Line         |    2675 CENTRAL AVE 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102-6686
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    Country              |    US
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    Telephone            |    406-238-2500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35100 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59107-5100
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    Country              |    US
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    Telephone            |    406-238-2500
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    6442
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    6442
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    License Number State |    MT
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