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General NPI Number Information
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NPI Number | 1265346969
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Entity Type | Individual
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Provider Name | ALLYSON J GLASS LPN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 225 LINCOLN ST SW
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City | HARTVILLE
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State | OH
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Zip | 44632-9382
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Country | US
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Telephone | 330-877-4276
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Fax |
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Provider Business Mailing Address
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Address Line | 1242 WAREHAM CIR
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City | AKRON
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State | OH
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Zip | 44312-5938
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.155365.MEDS
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License Number State | OH
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