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General NPI Number Information
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NPI Number | 1184378507
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Entity Type | Organization
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Legal Business Name | GLOWING HEALTH SERVICES PC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 50 ANDOVER AVE
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City | DUMONT
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State | NJ
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Zip | 07628-1103
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Country | US
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Telephone | 201-519-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ANDOVER AVE
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City | DUMONT
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State | NJ
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Zip | 07628-1103
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Country | US
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Telephone | 201-519-4421
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF NURSING PRACTICE
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Name | DR. GLORIA NIMO
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Credential | DNP, MSN, ANP-BC
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Telephone | 201-519-4421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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