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General NPI Number Information
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NPI Number | 1235843962
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Entity Type | Individual
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Provider Name | LEIGH ELLEN GLASGOW NP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 1000 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2906
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Country | US
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Telephone | 707-265-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 VILLA LN APT 14
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City | NAPA
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State | CA
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Zip | 94558-6475
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Country | US
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Telephone | 615-210-7225
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95025254
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 679023
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License Number State | CA
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