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General NPI Number Information
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NPI Number | 1013885953
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Entity Type | Organization
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Legal Business Name | GLOWLINE SISTERS BEAUTY & WELLNESS
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 480-733-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 S STAPLEY DR STE 120
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City | MESA
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State | AZ
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Zip | 85204-6676
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Country | US
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Telephone | 480-733-7879
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ADRIANA ST GERMAIN
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Credential | RN
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Telephone | 623-238-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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