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General NPI Number Information
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NPI Number | 1447378476
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Entity Type | Individual
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Provider Name | GLENN JOSEPH ENGLISH MASTERS SCIENCE PT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 TER HEUN DR FALMOUTH HOSPITAL REHABILIATION SERVICES
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City | FALMOUTH
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State | MA
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Zip | 02540-2503
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Country | US
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Telephone | 508-495-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 15 TAM WAY
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City | EAST FALMOUTH
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State | MA
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Zip | 02536-5153
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Country | US
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Telephone | 508-457-7274
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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 | 7461
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License Number State | MA
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