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General NPI Number Information
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NPI Number | 1457874562
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Entity Type | Organization
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Legal Business Name | GLASS DAUGHTER INC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 470 WASHINGTON ST STE 20
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City | NORWOOD
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State | MA
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Zip | 02062-2349
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Country | US
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Telephone | 774-203-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 470 WASHINGTON ST STE 20
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City | NORWOOD
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State | MA
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Zip | 02062-2349
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Country | US
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Telephone | 774-203-4177
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL BARRY
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Credential | BC-HIS
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Telephone | 774-203-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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