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General NPI Number Information
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NPI Number | 1952737660
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Entity Type | Individual
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Provider Name | ASHLEY MCCARTHY GARDNER NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2201 RENAISSANCE BLVD FL 3
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2709
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Country | US
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Telephone | 610-994-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 CREEK VIEW LN STE 200
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City | CUMMING
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State | GA
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Zip | 30041-5516
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Country | US
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Telephone | 770-880-7598
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN213727
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License Number State | GA
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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 | APRN11022763
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN213727
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License Number State | GA
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