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General NPI Number Information
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NPI Number | 1679698591
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Entity Type | Individual
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Provider Name | EMILY BAKER GLOVER LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 2 EXECUTIVE PARK DR
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City | BEDFORD
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State | NH
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Zip | 03110-6915
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Country | US
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Telephone | 512-406-7239
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Fax | 866-535-6974
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Provider Business Mailing Address
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Address Line | 2 EXECUTIVE PARK DR
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City | BEDFORD
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State | NH
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Zip | 03110-6915
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Country | US
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Telephone | 512-406-7239
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Fax | 866-535-6974
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113359
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License Number State | MA
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