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General NPI Number Information
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NPI Number | 1922058445
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Entity Type | Organization
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Legal Business Name | GLASGOW MEDICAL CENTER LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2600 GLASGOW AVE SUITE 100
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City | NEWARK
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State | DE
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Zip | 19702-4777
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Country | US
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Telephone | 302-836-8350
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Fax | 302-836-1906
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVE SUITE 204
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City | NEWARK
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State | DE
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Zip | 19702-4777
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Country | US
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Telephone | 302-836-8350
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Fax | 302-836-1906
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Authorized Official
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Title or Position | C.O.O.
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Name | MR. ARTHUR C KRETZ IV
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Credential |
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Telephone | 302-836-8350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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