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General NPI Number Information
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NPI Number | 1578883732
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Entity Type | Individual
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Provider Name | GLENN M FLANAGAN II MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 09/24/2019
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Provider Practice Location Address
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Address Line | 2950 TAMIAMI TRL N STE 13
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City | NAPLES
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State | FL
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Zip | 34103-4420
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Country | US
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Telephone | 239-276-7074
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Fax | 239-280-0290
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Provider Business Mailing Address
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Address Line | 2950 TAMIAMI TRL N STE 13
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City | NAPLES
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State | FL
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Zip | 34103-4420
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Country | US
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Telephone | 392-767-0742
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Fax | 239-280-0290
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME121906
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License Number State | FL
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