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General NPI Number Information
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NPI Number | 1538452826
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Entity Type | Organization
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Legal Business Name | GLASGOW CHIROPRACTIC AND REHABILITATION P.L.L.C
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 2230 N UNIVERSITY PKWY #6B
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City | PROVO
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State | UT
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Zip | 84604-1509
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Country | US
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Telephone | 801-235-9944
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Fax | 801-235-9955
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Provider Business Mailing Address
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Address Line | 2230 N UNIVERSITY PKWY #6B
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City | PROVO
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State | UT
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Zip | 84604-1509
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Country | US
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Telephone | 801-235-9944
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Fax | 801-235-9955
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIMBERLY K GLASGOW
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Credential | D.C, M.S.
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Telephone | 801-235-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 74641861202
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License Number State | UT
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