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General NPI Number Information
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NPI Number | 1639615909
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Entity Type | Individual
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Provider Name | CHRISTINE GARDNER RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 3000 ERICSSON DR
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City | WARRENDALE
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State | PA
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Zip | 15086-6501
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Country | US
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Telephone | 877-315-6140
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Fax |
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Provider Business Mailing Address
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Address Line | 322 STOCKTON RDG
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-2232
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP448461
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License Number State | PA
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