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General NPI Number Information
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NPI Number | 1760953939
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Entity Type | Individual
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Provider Name | GLENDA JUNCO
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 16821 NE 6TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2405
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Country | US
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Telephone | 786-953-6417
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Fax |
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Provider Business Mailing Address
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Address Line | 12240 NW 18TH PL
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City | MIAMI
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State | FL
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Zip | 33167-2131
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Country | US
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Telephone | 786-406-4951
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Fax |
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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