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General NPI Number Information
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NPI Number | 1831392687
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Entity Type | Individual
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Provider Name | KARYN JANSEN GALLAGHER WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 251 UNIVERSITY BLVD STE B
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City | CONWAY
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State | SC
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Zip | 29526-8834
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Country | US
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Telephone | 843-347-1012
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Fax | 843-347-1218
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Provider Business Mailing Address
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Address Line | 300 SINGLETON RIDGE RD ATTN PNS CREDENTIALING
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone | 843-234-6946
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 3534
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3534
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License Number State | SC
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