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General NPI Number Information
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NPI Number | 1407153786
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Entity Type | Individual
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Provider Name | CHERYL KIMBERLY GLAESER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 3765 AIRPORT PULLING RD N SUITE 207
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City | NAPLES
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State | FL
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Zip | 34105-4517
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Country | US
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Telephone | 239-287-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 TARPON RD
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City | NAPLES
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State | FL
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Zip | 34102-1562
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Country | US
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Telephone | 239-287-5808
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW9311
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License Number State | FL
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