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General NPI Number Information
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NPI Number | 1295812667
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Entity Type | Individual
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Provider Name | STEVEN L GLASSMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1146 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2031
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Country | US
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Telephone | 718-273-5558
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Fax | 718-448-8901
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Provider Business Mailing Address
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Address Line | 18 TOTTEN CT
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City | MARLBORO
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State | NJ
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Zip | 07746-2800
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Country | US
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Telephone | 732-617-2744
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 035123
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License Number State | NY
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