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General NPI Number Information
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NPI Number | 1205506680
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Entity Type | Organization
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Legal Business Name | GLOWING HEALTHCARE LLC
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 430 S DIXIE HWY STE 207
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City | CORAL GABLES
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State | FL
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Zip | 33146-2200
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Country | US
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Telephone | 53-810-4853
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Fax | 305-564-1660
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Provider Business Mailing Address
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Address Line | 430 S DIXIE HWY STE 207
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City | CORAL GABLES
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State | FL
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Zip | 33146-2200
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Country | US
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Telephone | 305-381-0485
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Fax | 305-564-1660
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | MARIA EUGENIA MAIORI
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Credential | MD
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Telephone | 215-756-4157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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