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General NPI Number Information
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NPI Number | 1457428237
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Entity Type | Individual
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Provider Name | EMILY D. GLENN MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 6942 ASH ST
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City | FRISCO
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State | TX
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Zip | 75034-5025
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Country | US
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Telephone | 817-933-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 12261 BURGESS LN
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City | FRISCO
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State | TX
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Zip | 75035-6979
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Country | US
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Telephone | 817-933-8939
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 63216
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License Number State | TX
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