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General NPI Number Information
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NPI Number | 1831205632
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Entity Type | Individual
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Provider Name | CHERYL L. GARGANTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-627-9350
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Fax | 352-273-9054
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Provider Business Mailing Address
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Address Line | 750 WASHINGTON ST NEMC BOX 836
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City | BOSTON
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State | MA
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Zip | 02111-1526
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Country | US
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Telephone | 617-636-5000
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 80976
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207SG0202X
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Taxonomy Name | Clinical Biochemical Genetics Physician
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License Number | ME120970
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License Number State | FL
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