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General NPI Number Information
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NPI Number | 1225083108
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Entity Type | Individual
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Provider Name | GLENNA MAJOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 1072 S DIXIE BLVD
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City | RADCLIFF
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State | KY
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Zip | 40160-1103
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Country | US
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Telephone | 270-351-8166
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Fax | 270-351-8322
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Provider Business Mailing Address
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Address Line | 107 CRANES ROOST CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-3650
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Country | US
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Telephone | 270-765-2605
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Fax | 270-766-1222
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35834
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License Number State | KY
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