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General NPI Number Information
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NPI Number | 1821895475
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Entity Type | Organization
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Legal Business Name | GLORY THERAPEUTICS & CONSULTING
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 668 WITHROW RD STE 8
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City | FOREST CITY
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State | NC
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Zip | 28043-9695
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Country | US
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Telephone | 828-919-5077
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Fax | 828-214-5529
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Provider Business Mailing Address
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Address Line | PO BOX 765
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City | RUTHERFORDTON
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State | NC
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Zip | 28139-0765
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Country | US
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Telephone | 828-919-5077
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Fax | 828-914-5529
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA L HAMILTON
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Credential | PMHNP-BC
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Telephone | 828-919-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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