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NPI 1487516605

NPI 1487516605 : MRS. MADISON J GLIDDEN : BROKEN BOW, NE

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General NPI Number Information
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    NPI Number           |    1487516605
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. MADISON J GLIDDEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/25/2025
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    646 ARAPAHOE LN 
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    City                 |    BROKEN BOW
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    State                |    NE
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    Zip                  |    68822-2632
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    Country              |    US
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    Telephone            |    402-760-2969
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    646 ARAPAHOE LN 
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    City                 |    BROKEN BOW
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    State                |    NE
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    Zip                  |    68822-2632
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    Country              |    US
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    Telephone            |    402-760-2969
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    NE
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Taxonomy #4
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    NE
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Taxonomy #5
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    NE
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