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General NPI Number Information
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NPI Number | 1346051125
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Entity Type | Organization
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Legal Business Name | KAREN GARDNER DO PLLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 234 S BRYN MAWR AVE STE 101
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City | BRYN MAWR
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State | PA
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Zip | 19010-2133
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Country | US
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Telephone | 484-414-4136
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Fax | 833-428-6673
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Provider Business Mailing Address
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Address Line | 234 S BRYN MAWR AVE STE 101
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City | BRYN MAWR
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State | PA
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Zip | 19010-2133
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Country | US
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Telephone | 484-414-4136
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Fax | 833-428-6673
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KAREN LYNNE GARDNER
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Credential | DO
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Telephone | 610-416-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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