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General NPI Number Information
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NPI Number | 1235397555
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Entity Type | Organization
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Legal Business Name | CHERI J. GLAUS, O.D., INC.
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 3725 CLEVELAND MASSILLON RD SUITE 6
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City | NORTON
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State | OH
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Zip | 44203-5614
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Country | US
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Telephone | 330-825-6004
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Fax | 330-825-3601
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Provider Business Mailing Address
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Address Line | 3725 CLEVELAND MASSILLON RD SUITE 6
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City | NORTON
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State | OH
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Zip | 44203-5614
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Country | US
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Telephone | 330-825-6004
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Fax | 330-825-3601
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHERI J GLAUS
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Credential | O.D.
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Telephone | 330-825-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 3581 /T462
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3581 / T462
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License Number State | OH
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