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General NPI Number Information
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NPI Number | 1962686840
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Entity Type | Organization
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Legal Business Name | KATHERYNE W GLANTZ LTD
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 2345 E PRATER WAY #315
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City | SPARKS
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State | NV
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Zip | 89434-9600
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Country | US
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Telephone | 775-331-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 2345 E PRATER WAY #315
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City | SPARKS
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State | NV
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Zip | 89434-9600
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Country | US
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Telephone | 775-331-3668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHERYNE W GLANTZ
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Credential | DPM
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Telephone | 775-331-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 9103A
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License Number State | NV
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