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General NPI Number Information
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NPI Number | 1487032488
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Entity Type | Individual
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Provider Name | DANIEL GLASER M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 333 CEDAR ST YNHH - DEPARTMENT OF PEDIATRICS
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-688-1947
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 208064
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City | NEW HAVEN
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State | CT
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Zip | 06520-8064
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Country | US
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Telephone | 203-246-0679
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD465877
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 68777
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License Number State | CT
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