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General NPI Number Information
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NPI Number | 1396806899
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Entity Type | Individual
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Provider Name | BOYD B GLASGOW DMD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 25 HOOKS LN SUITE 212
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City | PIKESVILLE
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State | MD
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Zip | 21208-1617
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Country | US
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Telephone | 410-653-2622
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Fax | 410-653-6448
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Provider Business Mailing Address
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Address Line | 25 HOOKS LN SUITE 212
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City | PIKESVILLE
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State | MD
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Zip | 21208-1617
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Country | US
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Telephone | 410-653-2622
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Fax | 410-653-6448
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15298
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License Number State | MD
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