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General NPI Number Information
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NPI Number | 1568424836
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Entity Type | Individual
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Provider Name | HOWARD M GLICKSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 7154 MEDICAL CENTER DRIVE
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City | SPRING HILL
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State | FL
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Zip | 34608-1329
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Country | US
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Telephone | 352-596-1926
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Fax | 352-597-2154
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Provider Business Mailing Address
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Address Line | 17757 US HWY 19 NORTH SUITE 400
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City | CLEARWATER
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State | FL
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Zip | 33764-6560
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Country | US
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Telephone | 727-450-2210
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Fax | 727-450-2235
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 041596
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME41596
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME41596
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License Number State | FL
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