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General NPI Number Information
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NPI Number | 1568583250
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Entity Type | Individual
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Provider Name | LOIS IRENE GLANVILLE PHD, CNP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 210-E MARY GLADWIN HALL
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City | AKRON
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State | OH
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Zip | 44325-3703
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Country | US
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Telephone | 330-972-7733
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Fax | 330-972-5737
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Provider Business Mailing Address
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Address Line | 1835 CALVERT DR
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1020
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Country | US
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Telephone | 330-929-4963
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA NP-0570 RN-11744
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License Number State | OH
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