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General NPI Number Information
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NPI Number | 1902033210
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Entity Type | Individual
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Provider Name | ROBERT CLIFTON GLENN MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 501 W REDLANDS BLVD STE B
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City | REDLANDS
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State | CA
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Zip | 92373-4642
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Country | US
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Telephone | 909-686-6233
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Fax | 909-353-4985
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Provider Business Mailing Address
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Address Line | 2319 SAINT MATTHEWS RD
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City | ORANGEBURG
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State | SC
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Zip | 29118-2042
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Country | US
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Telephone | 803-536-1571
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 31737
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101276604
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 332429
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2022-02060
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License Number State | NC
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