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General NPI Number Information
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NPI Number | 1427942184
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Entity Type | Organization
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Legal Business Name | GLIDE PATH SERVICES LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 7546 MIDLOTHIAN TPKE
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225
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Country | US
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Telephone | 804-817-3314
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Fax | 804-817-3314
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Provider Business Mailing Address
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Address Line | 9419 PARK BLUFF TER
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City | CHESTERFIELD
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State | VA
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Zip | 23838-8957
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Country | US
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Telephone | 352-256-2331
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. ERIC CLARKE
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Credential |
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Telephone | 352-256-2331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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