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General NPI Number Information
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NPI Number | 1831761873
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Entity Type | Individual
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Provider Name | SARAH LYNN GALLARDY CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5800 6TH AVE
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City | ALTOONA
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State | PA
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Zip | 16602-1113
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Country | US
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Telephone | 814-215-1516
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Fax | 814-941-5520
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Provider Business Mailing Address
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Address Line | 5800 6TH AVE
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City | ALTOONA
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State | PA
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Zip | 16602-1113
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Country | US
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Telephone | 814-239-1516
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Fax | 149-415-5208
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP023941
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP023941
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License Number State | PA
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