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General NPI Number Information
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NPI Number | 1497506786
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Entity Type | Organization
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Legal Business Name | SIMONE GLINBERG MD SC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 725 HEARTLAND TRL STE 110
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City | MADISON
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State | WI
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Zip | 53717-1976
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Country | US
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Telephone | 608-957-7910
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Fax | 608-957-7917
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Provider Business Mailing Address
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Address Line | 3302 PRAIRIE GLADE RD
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City | MIDDLETON
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State | WI
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Zip | 53562-1776
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Country | US
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Telephone | 608-957-7910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIMONE L GLINBERG
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Credential | MD
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Telephone | 608-957-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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