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General NPI Number Information
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NPI Number | 1992960744
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Entity Type | Individual
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Provider Name | SHEILA H GARDNER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 20 MADBURY RD
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City | DURHAM
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State | NH
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Zip | 03824-2023
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Country | US
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Telephone | 603-508-0309
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Fax | 603-509-9585
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Provider Business Mailing Address
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Address Line | 20 MADBURY RD
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City | DURHAM
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State | NH
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Zip | 03824-2023
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Country | US
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Telephone | 603-508-0309
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Fax | 603-509-9585
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 995
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License Number State | NH
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