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General NPI Number Information
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NPI Number | 1346150455
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Entity Type | Individual
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Provider Name | DONNA M GLASS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1130 RUE LIMOGES
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City | SLIDELL
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State | LA
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Zip | 70458-2222
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Country | US
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Telephone | 985-285-8140
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Fax | 985-285-8140
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Provider Business Mailing Address
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Address Line | 3724 JEFFERSON ST STE 104
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City | AUSTIN
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State | TX
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Zip | 78731-6204
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Country | US
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Telephone | 512-693-7045
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Fax | 512-399-9039
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2269
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License Number State | LA
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