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General NPI Number Information
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NPI Number | 1255529178
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Entity Type | Organization
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Legal Business Name | GLORIAD AND ASSOCIATES COMPANY, LLC.
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 14004 PLEASANT VIEW DR
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City | BOWIE
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State | MD
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Zip | 20720-4801
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Country | US
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Telephone | 301-793-4474
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Fax | 240-245-4708
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Provider Business Mailing Address
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Address Line | 14004 PLEASANT VIEW DR
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City | BOWIE
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State | MD
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Zip | 20720-4801
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Country | US
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Telephone | 240-245-4716
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Fax | 240-245-4708
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Authorized Official
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Title or Position | SR. SALES CONSULTANT
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Name | MR. RICHARD BROSSA
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Credential |
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Telephone | 240-413-3320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2557
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License Number State | MD
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