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General NPI Number Information
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NPI Number | 1780083790
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Entity Type | Organization
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Legal Business Name | GLORY FINANCIAL SERVICES
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 320 NORTH ST SUITE #302
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City | NACOGDOCHES
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State | TX
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Zip | 75961-5017
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Country | US
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Telephone | 469-765-3959
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S MAIN ST SUITE #5
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4763
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Country | US
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Telephone | 469-765-2873
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MS. OLAWUMI OLADEJI
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Credential |
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Telephone | 469-765-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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