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General NPI Number Information
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NPI Number | 1336287267
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Entity Type | Individual
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Provider Name | MRS. SHARON MARIE GLADMAN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 208 HARRIS ROAD
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City | BEDFORD HILLS
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State | NY
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Zip | 10507
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Country | US
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Telephone | 914-666-6854
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 BALDWIN RD APT 4
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City | YORKTOWN HGTS
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-302-6637
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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 | 2812251
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License Number State | NY
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