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General NPI Number Information
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NPI Number | 1558365577
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Entity Type | Organization
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Legal Business Name | RICHARD G GLOGAU M D INC
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 350 PARNASSUS AVE SUITE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-564-1261
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Fax | 415-564-1967
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Provider Business Mailing Address
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Address Line | 350 PARNASSUS AVE SUITE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3608
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Country | US
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Telephone | 415-564-1261
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Fax | 415-564-1967
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD G. GLOGAU
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Credential | M.D.
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Telephone | 415-564-1261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G28282
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License Number State | CA
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