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General NPI Number Information
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NPI Number | 1124986310
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Entity Type | Organization
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Legal Business Name | G.L.O.M.
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 8210 S BRIGHT RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9759
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Country | US
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Telephone | 844-456-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 3123 INDEPENDENCE DR
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City | LIVERMORE
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State | CA
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Zip | 94551-7595
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Country | US
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Telephone | 209-330-7155
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE THERAPIST
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Name | LESLIE SHA'NEESE ARMSTRONG
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Credential | ACSW
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Telephone | 209-817-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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