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General NPI Number Information
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NPI Number | 1467685420
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Entity Type | Individual
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Provider Name | KAREN JOAN GAGLIARDI CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1576 BROCK CREEK DR
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City | YARDLEY
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State | PA
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Zip | 19067-5603
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Country | US
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Telephone | 267-987-7509
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Fax |
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Provider Business Mailing Address
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Address Line | 1576 BROCK CREEK DR
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City | YARDLEY
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State | PA
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Zip | 19067-5603
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Country | US
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Telephone | 215-493-7842
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP010395
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | SP010395
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License Number State | PA
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