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General NPI Number Information
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NPI Number | 1447234042
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Entity Type | Individual
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Provider Name | GLENN C PFEFFER PT
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 363 VANADIUM RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-1497
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Country | US
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Telephone | 412-429-0885
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Fax | 412-429-0409
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Provider Business Mailing Address
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Address Line | 2606 FOX CHASE CT
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1610
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Country | US
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Telephone | 412-914-0158
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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 | PT009750
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License Number State | PA
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