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General NPI Number Information
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NPI Number | 1952368219
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Entity Type | Organization
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Legal Business Name | C. GAIL GARDNER DOING BUSINESS AS SPECIAL NEEDS
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 10675 TREENA ST 102
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City | SAN DIEGO
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State | CA
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Zip | 92131-2478
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Country | US
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Telephone | 858-578-9923
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Fax | 858-566-0059
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Provider Business Mailing Address
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Address Line | 17046 CASTELLO CIR
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City | SAN DIEGO
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State | CA
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Zip | 92127-2800
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Country | US
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Telephone | 858-449-2531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. C GAIL GARDNER
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Credential |
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Telephone | 858-449-2531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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