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General NPI Number Information
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NPI Number | 1013952399
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Entity Type | Individual
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Provider Name | GAIL A GLOECKLER R.N.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 516 VALLEY BROOK AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1930
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Country | US
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Telephone | 201-935-3322
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Fax | 201-935-9196
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Provider Business Mailing Address
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Address Line | 209 UNION ST UNIT #6
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City | LODI
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State | NJ
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Zip | 07644-3263
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Country | US
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Telephone | 973-777-7910
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 26NO05042300
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License Number State | NJ
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