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General NPI Number Information
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NPI Number | 1235515628
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Entity Type | Organization
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Legal Business Name | DAYNA GARDNER
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 33 EAST ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1939
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Country | US
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Telephone | 781-929-2692
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Fax |
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Provider Business Mailing Address
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Address Line | 33 EAST ST
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1939
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Country | US
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Telephone | 781-929-2692
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | DAYNA GARDNER
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Credential |
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Telephone | 781-929-2692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN2260389
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License Number State | MA
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