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General NPI Number Information
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NPI Number | 1891955456
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Entity Type | Individual
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Provider Name | CHARLES B GLOVER MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 688 23 1/2 RD STE 301
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-8904
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Country | US
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Telephone | 970-644-4030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME114850
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 114850
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0072089
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License Number State | CO
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