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General NPI Number Information
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NPI Number | 1316980832
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Entity Type | Individual
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Provider Name | MARY JAMES GLENNEY PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 1515 S CAPITAL OF TEXAS HWY STE 300
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City | AUSTIN
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State | TX
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Zip | 78746-6544
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Country | US
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Telephone | 210-885-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 6339 TASAJILLO TRL
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City | AUSTIN
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State | TX
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Zip | 78739-1416
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Country | US
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Telephone | 210-885-6579
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0991542-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP106331
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APN.0991571-CNS
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | AP106331
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License Number State | TX
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