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General NPI Number Information
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NPI Number | 1174770598
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Entity Type | Individual
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Provider Name | RACHEL GLAZE AU.D, FAAA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 1600 S COULTER ST BLDG A #105
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City | AMARILLO
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State | TX
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Zip | 79106-1710
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Country | US
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Telephone | 806-352-2321
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Fax | 806-355-8941
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Provider Business Mailing Address
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Address Line | 5303 50TH STREET
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City | LUBBOCK
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State | TX
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Zip | 79414-5823
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Country | US
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Telephone | 806-799-8950
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Fax | 806-792-9404
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80119
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License Number State | TX
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