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General NPI Number Information
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NPI Number | 1801202965
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Entity Type | Individual
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Provider Name | BRIANNA GLYNN-SERVEDIO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3305 SUNGATE BLVD
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City | RALEIGH
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State | NC
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Zip | 27610-2871
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Country | US
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Telephone | 919-212-0129
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Fax | 919-255-1540
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Provider Business Mailing Address
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Address Line | 3212 ENCHANTING WAY
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City | RALEIGH
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State | NC
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Zip | 27616-8372
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Country | US
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Telephone | 908-601-3800
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24231
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 24231
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License Number State | NC
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