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General NPI Number Information
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NPI Number | 1700266905
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Entity Type | Individual
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Provider Name | CARA GILLIS
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 600 OFFICE CENTER DR BLDG 600
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-3293
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Country | US
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Telephone | 866-297-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 2178 BENTLEY LN
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City | YORK
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State | PA
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Zip | 17404-9064
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Country | US
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Telephone | 717-379-8770
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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 | SP014997
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License Number State | PA
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