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General NPI Number Information
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NPI Number | 1295045300
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Entity Type | Organization
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Legal Business Name | GLCE GROUP, LLC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 4451 BROOKFIELD CORPORATE DR SUITE 100
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City | CHANTILLY
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State | VA
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Zip | 20151-1693
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Country | US
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Telephone | 703-880-2547
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Fax | 571-299-4200
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Provider Business Mailing Address
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Address Line | 4451 BROOKFIELD CORPORATE DR SUITE 100
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City | CHANTILLY
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State | VA
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Zip | 20151-1693
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Country | US
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Telephone | 703-880-2547
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Fax | 571-299-4200
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Authorized Official
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Title or Position | OWNER
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Name | MR. CLIFFORD GLIER
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Credential |
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Telephone | 703-880-2547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1120929
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 101054231
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License Number State | VA
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