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General NPI Number Information
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NPI Number | 1083849673
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Entity Type | Individual
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Provider Name | SUSAN MARIAN GLOD L.AC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 2101 GREENTREE RD SUITE A-204
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City | PITTSBURGH
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State | PA
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Zip | 15220-1400
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Country | US
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Telephone | 412-279-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 115 VANDERBILT DR
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City | PITTSBURGH
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State | PA
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Zip | 15243-1322
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Country | US
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Telephone | 412-552-0486
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | OM000082
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License Number State | PA
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