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General NPI Number Information
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NPI Number | 1457218141
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Entity Type | Individual
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Provider Name | MYLES GLICKMAN
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 111 8TH AVE FL 5
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City | NEW YORK
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State | NY
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Zip | 10011-5201
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Country | US
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Telephone | 516-361-1506
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Fax |
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Provider Business Mailing Address
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Address Line | 2 REGINA AVE
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City | DIX HILLS
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State | NY
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Zip | 11746-8322
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Country | US
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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