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General NPI Number Information
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NPI Number | 1265233985
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Entity Type | Individual
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Provider Name | JOHN THOMAS GLENNY III MSN, APRN, AGPCNP
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Gender | Male
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 16244 REDSTONE WAY
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City | ODESSA
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State | FL
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Zip | 33556-4668
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Country | US
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Telephone | 727-424-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 10224 CHIP LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-2622
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Country | US
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Telephone | 727-267-8756
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11037673
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11037673
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11037673
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11037673
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License Number State | FL
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