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General NPI Number Information
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NPI Number | 1265341507
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Entity Type | Organization
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Legal Business Name | GLO LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1714 UPLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49048-1208
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Country | US
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Telephone | 269-205-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 UPLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49048-1208
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Country | US
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Telephone | 269-205-8850
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Fax |
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Authorized Official
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Title or Position | OWNER/ LLC MANAGER
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Name | GLOVER ONOJEDE IYOHA
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Credential |
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Telephone | 269-205-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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