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General NPI Number Information
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NPI Number | 1053621334
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Entity Type | Individual
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Provider Name | DAWN MARII GLOWATZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 8000 5 MILE RD STE 305
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City | CINCINNATI
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State | OH
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Zip | 45230-2188
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Country | US
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Telephone | 513-232-3500
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Fax | 513-624-2704
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Provider Business Mailing Address
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Address Line | 8000 5 MILE RD STE 305
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City | CINCINNATI
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State | OH
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Zip | 45230-2188
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Country | US
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Telephone | 513-232-3500
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Fax | 513-624-2704
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | COA.14429-NP
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License Number State | OH
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