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General NPI Number Information
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NPI Number | 1609866466
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Entity Type | Individual
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Provider Name | ROLAND MILES GLASSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 407 RIVERWAY PL
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City | BEDFORD
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State | NH
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Zip | 03110-6765
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Country | US
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Telephone | 603-668-3772
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Fax | 603-668-2786
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Provider Business Mailing Address
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Address Line | 407 RIVERWAY PL
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City | BEDFORD
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State | NH
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Zip | 03110-6765
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Country | US
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Telephone | 603-668-3772
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Fax | 603-668-2786
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6670
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License Number State | NH
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