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General NPI Number Information
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NPI Number | 1982050753
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Entity Type | Individual
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Provider Name | RHONDA GLUCKNER RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1001 COVINGTON ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1617
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Country | US
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Telephone | 330-480-2371
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Fax | 330-480-3970
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Provider Business Mailing Address
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Address Line | 1001 COVINGTON ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1617
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Country | US
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Telephone | 330-480-2371
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Fax | 330-480-3970
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | RN.311906
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.025452
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License Number State | OH
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