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General NPI Number Information
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NPI Number | 1710998943
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Entity Type | Organization
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Legal Business Name | GLOW HEALTH, BEAUTY & MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 344 STREET 32 VILLA NEVAREZ
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-751-1370
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Fax | 787-751-1370
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Provider Business Mailing Address
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Address Line | 30 - 3A VILLAS DEL SENORIAL
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-751-1370
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Fax | 787-751-1370
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GLORIA DIAZ
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Credential | MHSA
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Telephone | 787-751-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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