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General NPI Number Information
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NPI Number | 1073370607
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Entity Type | Individual
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Provider Name | YAAKOV Y GLATZER MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 216-593-1546
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Fax |
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Provider Business Mailing Address
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Address Line | 2584 MILTON RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4639
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Country | US
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Telephone | 845-825-3093
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0035748
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License Number State | OH
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