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General NPI Number Information
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NPI Number | 1720576937
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Entity Type | Individual
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Provider Name | JULIANNE S GLOVER AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 5449 BEAR LN STE 308
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-4124
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Country | US
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Telephone | 361-371-3710
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Fax | 361-371-3444
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Provider Business Mailing Address
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Address Line | 5449 BEAR LN STE 308
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City | CORPUS CHRISTI
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State | TX
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Zip | 78405-4124
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Country | US
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Telephone | 361-371-3710
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Fax | 361-371-3444
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP137271
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License Number State | TX
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