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General NPI Number Information
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NPI Number | 1942856232
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Entity Type | Individual
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Provider Name | HUNTER STEPHEN GLASGOW PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 13557 STEELECROFT PKWY STE 1200
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City | CHARLOTTE
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State | NC
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Zip | 28278-7556
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Country | US
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Telephone | 704-489-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 5960 FAIRVIEW RD STE 500
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City | CHARLOTTE
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State | NC
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Zip | 28210-3113
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Country | US
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Telephone | 704-495-6324
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 59677
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-10269
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License Number State | NC
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