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General NPI Number Information
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NPI Number | 1336327303
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Entity Type | Individual
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Provider Name | JANICE L. GLOSTER
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 2626 S LOOP W 177
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City | HOUSTON
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State | TX
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Zip | 77054-2654
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Country | US
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Telephone | 713-289-9999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300891
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City | HOUSTON
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State | TX
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Zip | 77230-0891
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Country | US
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Telephone | 713-289-9999
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Fax | 713-747-9249
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 33820
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33820
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License Number State | TX
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