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General NPI Number Information
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NPI Number | 1922813054
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Entity Type | Organization
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Legal Business Name | GLS SOLUTION LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 608 PURDY ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1795
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Country | US
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Telephone | 248-320-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 608 PURDY ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1795
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Country | US
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Telephone | 248-320-7295
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | GALINA PETLAKH
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Credential | RN
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Telephone | 248-320-7295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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