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NPI 1033317581

NPI 1033317581 : KATHRYN LEIGH GLOYER M.D. : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1033317581
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN LEIGH GLOYER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2007
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    8300 HEALTH PARK STE 107 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27615-4731
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    Country              |    US
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    Telephone            |    919-238-2000
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    Fax                  |    919-238-5010
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Provider Business Mailing Address
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    Address Line         |    PO BOX 604337 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260
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    Country              |    US
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    Telephone            |    919-238-2000
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    Fax                  |    919-238-5010
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD439287
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    2019-02317
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2019-02317
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    License Number State |    NC
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