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General NPI Number Information
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NPI Number | 1437279791
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Entity Type | Individual
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Provider Name | GLORIANE BOND HARGRAVE MSN, APRN,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 701 E DAVIS ST STE A
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City | CONROE
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State | TX
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Zip | 77301-3102
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Country | US
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Telephone | 409-766-1888
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Fax | 936-539-4668
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Provider Business Mailing Address
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Address Line | 76 ORINDA DR
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City | CONROE
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State | TX
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Zip | 77304-1118
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP106104
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License Number State | TX
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