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General NPI Number Information
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NPI Number | 1285855601
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Entity Type | Organization
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Legal Business Name | JAN M. PIPER-GLASGOW, DMD PC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 GROVE ST # B
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City | PITTSFORD
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State | NY
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Zip | 14534-1317
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Country | US
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Telephone | 585-586-3990
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Fax | 585-586-4389
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Provider Business Mailing Address
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Address Line | 40 GROVE ST # B
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City | PITTSFORD
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State | NY
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Zip | 14534-1317
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Country | US
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Telephone | 585-586-3990
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Fax | 585-586-4389
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAN MARIE PIPER-GLASGOW
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Credential | D.M.D.
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Telephone | 585-586-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 036963-1
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License Number State | NY
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