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General NPI Number Information
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NPI Number | 1528048444
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Entity Type | Individual
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Provider Name | KARA LYNN GARDNER MS
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 170 W 12TH ST NR925, GENETICS
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-7692
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Fax | 212-604-3899
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Provider Business Mailing Address
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Address Line | 22 RIVER TER
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City | NEW YORK
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State | NY
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Zip | 10282-1149
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Country | US
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Telephone | 212-608-5292
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 2002119
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License Number State |
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