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General NPI Number Information
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NPI Number | 1508921792
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Entity Type | Organization
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Legal Business Name | THE GLAUCOMA CENTER, P.C.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 129 LUBRANO DR STE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7566
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Country | US
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Telephone | 301-860-1090
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Fax | 301-860-1095
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Provider Business Mailing Address
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Address Line | 17001 SCIENCE DR STE 120
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City | BOWIE
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State | MD
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Zip | 20715-4330
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Country | US
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Telephone | 301-860-1090
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Fax | 13-860-1095
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALYSON L. HALL
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Credential | M.D.
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Telephone | 301-860-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0053812
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License Number State | MD
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