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General NPI Number Information
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NPI Number | 1952344079
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Entity Type | Individual
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Provider Name | CAROLYN M. GAYDOS RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3998 RED LION RD NUTRITION CENTER, FRANKFORD HOSPITAL
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1436
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Country | US
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Telephone | 215-612-4863
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Fax | 215-612-5302
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Provider Business Mailing Address
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Address Line | 1970 NEW RODGERS RD APT L33
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City | LEVITTOWN
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State | PA
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Zip | 19056-2518
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Country | US
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Telephone | 215-946-6695
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DN001781
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DN001781
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License Number State | PA
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