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General NPI Number Information
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NPI Number | 1396698783
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Entity Type | Individual
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Provider Name | NOAH JOHN GLASER
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Gender | Male
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 406 E GRACE AVE
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City | WOODLAND PARK
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State | CO
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Zip | 80863-3127
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Country | US
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Telephone | 719-687-3767
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 PARKWAY LN
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City | WOODLAND PARK
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State | CO
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Zip | 80863-9468
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Country | US
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Telephone | 641-229-6777
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 137336
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License Number State | IA
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