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General NPI Number Information
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NPI Number | 1992085336
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Entity Type | Individual
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Provider Name | DENISE M GARDNER RN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 29 SAVAGE RD
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City | MEDWAY
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State | ME
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Zip | 04460-3260
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Country | US
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Telephone | 207-447-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 29 SAVAGE RD
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City | MEDWAY
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State | ME
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Zip | 04460-3260
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Country | US
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Telephone | 207-447-2229
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R059366
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License Number State | ME
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