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General NPI Number Information
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NPI Number | 1538859251
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Entity Type | Organization
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Legal Business Name | GLO WITHIN SERVICES LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 5902 CHELSEA CV N
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-7110
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Country | US
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Telephone | 917-513-8598
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Fax | 914-840-1182
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Provider Business Mailing Address
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Address Line | 2522 SOUTH RD # 1019
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-5468
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Country | US
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Telephone | 917-513-8598
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Fax | 914-840-1182
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. GLENDALEE L MUNIZ
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Credential | LCSW, ASW-G
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Telephone | 914-246-0324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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