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General NPI Number Information
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NPI Number | 1073879656
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Entity Type | Individual
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Provider Name | STACEY MARDEKIAN GARGANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2012
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 132 S 10TH ST STE 285K
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone | 215-503-5642
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Fax | 215-503-4817
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Provider Business Mailing Address
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Address Line | 132 S 10TH ST STE 285K
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone | 215-503-5642
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Fax | 215-503-4817
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | MD456407
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License Number State | PA
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