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General NPI Number Information
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NPI Number | 1336930395
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Entity Type | Individual
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Provider Name | MS. LINDA LEE GLASGOW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 8894 COLUMBUS RD
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City | LAKEVILLE
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State | OH
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Zip | 44638-9502
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Country | US
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Telephone | 330-988-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 8894 COLUMBUS RD
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City | LAKEVILLE
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State | OH
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Zip | 44638-9502
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Country | US
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Telephone | 330-988-4994
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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