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General NPI Number Information
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NPI Number | 1457883191
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Entity Type | Individual
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Provider Name | DEANA GLASGOW FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 718 CEDAR POINT BLVD
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City | CEDAR POINT
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State | NC
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Zip | 28584-8012
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Country | US
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Telephone | 252-393-6543
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Fax | 833-941-2380
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Provider Business Mailing Address
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Address Line | 718 CEDAR POINT BLVD DEPT 100
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City | CEDAR POINT
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State | NC
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Zip | 28584-8012
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Country | US
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Telephone | 252-393-6543
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Fax | 833-941-2380
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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 | 5009433
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License Number State | NC
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