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General NPI Number Information
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NPI Number | 1558541540
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Entity Type | Organization
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Legal Business Name | STEPHEN L GLASSER OD, PC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1050 17TH ST NW SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20036-5503
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Country | US
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Telephone | 202-223-3530
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Fax | 202-223-9748
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Provider Business Mailing Address
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Address Line | 1050 17TH ST NW SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20036-5503
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Country | US
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Telephone | 202-223-3530
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Fax | 202-223-9748
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN LAWRENCE GLASSER
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Credential | O.D.
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Telephone | 202-223-3530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP421
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License Number State | DC
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