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General NPI Number Information
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NPI Number | 1023092798
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Entity Type | Individual
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Provider Name | LOUISE M GLOTZBACH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 E RED BRIDGE RD SUITE 304
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City | KANSAS CITY
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State | MO
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Zip | 64131-4035
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Country | US
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Telephone | 816-942-1811
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Fax | 816-942-0419
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Provider Business Mailing Address
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Address Line | 12842 SAGAMORE RD
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City | LEAWOOD
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State | KS
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Zip | 66209-1601
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Country | US
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Telephone | 913-338-5034
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Fax | 913-338-2092
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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 | PY 01212
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License Number State | MO
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