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General NPI Number Information
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NPI Number | 1487935995
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Entity Type | Individual
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Provider Name | DARRYL E GLOVER JR. O,D,
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Gender | Male
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 8231 BRIER CREEK PKWY
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City | RALEIGH
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State | NC
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Zip | 27617-7705
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Country | US
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Telephone | 919-863-5032
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Fax | 919-226-0040
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Provider Business Mailing Address
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Address Line | 1950 OLD GALLOWS RD STE 520
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City | VIENNA
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State | VA
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Zip | 22182-3970
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2246
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License Number State | NC
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