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General NPI Number Information
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NPI Number | 1437356789
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Entity Type | Individual
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Provider Name | JOHN FRANCIS GARGAN NP
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 2091 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-740-6740
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Fax | 212-740-6742
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Provider Business Mailing Address
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Address Line | 412 W 46TH ST APT 4A
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City | NEW YORK
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State | NY
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Zip | 10036-9012
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Country | US
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Telephone | 917-862-1320
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Fax | 212-740-6742
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F334335
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License Number State | NY
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