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General NPI Number Information
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NPI Number | 1740572627
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Entity Type | Individual
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Provider Name | JULIE ALAYNE GLADNEY LPN, IBCLC, RLC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 217 COLUMBUS RD STE 105
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City | ATHENS
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State | OH
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Zip | 45701-1393
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Country | US
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Telephone | 740-818-8871
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Fax | 844-442-5114
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Provider Business Mailing Address
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Address Line | PO BOX 393
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City | ATHENS
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State | OH
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Zip | 45701-0393
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Country | US
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Telephone | 740-818-8871
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Fax | 740-447-9605
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 142244
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 108-85240
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | L-20141
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-20141
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License Number State | OH
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