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General NPI Number Information
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NPI Number | 1952640369
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Entity Type | Individual
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Provider Name | KIMBERLY ELAINE GLASGOW N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 5900 NW 86TH ST STE 100
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City | JOHNSTON
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State | IA
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Zip | 50131-2284
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Country | US
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Telephone | 515-276-6133
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Fax | 515-334-7356
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Provider Business Mailing Address
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Address Line | 5900 NW 86TH ST STE 100
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City | JOHNSTON
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State | IA
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Zip | 50131-2284
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Country | US
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Telephone | 515-276-6133
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Fax | 515-334-7356
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R2042150
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5640-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A122442
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License Number State | IA
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