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General NPI Number Information
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NPI Number | 1376821801
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Entity Type | Individual
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Provider Name | AARON ANTHONY GLYNN MB MCH FRCS(TR&ORTH)
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Gender | Male
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 925 CHESTNUT ST ROTHMAN INSTITUTE AT JEFFERSON UNIVERSITY
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4216
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Country | US
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Telephone | 180-032-1999
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Fax | 215-503-0568
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Provider Business Mailing Address
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Address Line | ST. ANN'S GRANTSTOWN VILLAGE
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City | WATERFORD
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State | IRELAND
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Zip | 0000000
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Country | IE
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD443301
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License Number State | PA
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