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General NPI Number Information
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NPI Number | 1821174145
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Entity Type | Individual
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Provider Name | KATHERYNE W GLANTZ DPM
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Gender | Female
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2345 E PRATER WAY 315
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City | SPARKS
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State | NV
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Zip | 89434-9639
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Country | US
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Telephone | 775-331-3668
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Fax | 775-331-3649
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Provider Business Mailing Address
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Address Line | 2345 E PRATER WAY #315
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City | SPARKS
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State | NV
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Zip | 89434-9639
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Country | US
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Telephone | 775-331-3668
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Fax | 775-331-3649
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 9103A
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License Number State | NV
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