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General NPI Number Information
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NPI Number | 1366733719
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Entity Type | Individual
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Provider Name | GLENDALYZ ALBERTO MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 701 E FM 1626 STE 100
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City | AUSTIN
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State | TX
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Zip | 78748-6075
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Country | US
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Telephone | 855-481-8375
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Fax |
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Provider Business Mailing Address
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Address Line | 5235 OVERPASS RD STE 100
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City | BUDA
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State | TX
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Zip | 78610-9753
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Country | US
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Telephone | 512-504-0888
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Fax | 125-040-8755
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 261576
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License Number State | NY
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