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General NPI Number Information
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NPI Number | 1578623500
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Entity Type | Individual
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Provider Name | LYNDA D GLUCK M.A.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1728 LAUREL CANYON BLVD D
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City | LOS ANGELES
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State | CA
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Zip | 90046-2138
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Country | US
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Telephone | 323-851-6556
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Fax | 323-851-6593
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Provider Business Mailing Address
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Address Line | PO BOX 480184
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City | LOS ANGELES
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State | CA
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Zip | 90048-1184
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Country | US
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Telephone | 323-851-6556
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Fax | 323-851-6593
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU64
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA934
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License Number State | CA
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