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General NPI Number Information
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NPI Number | 1649456310
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Entity Type | Organization
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Legal Business Name | ROLAND M. GLASSMAN
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 407 RIVERWAY PL BEDFORD COMMONS
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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 | 603-668-1421
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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 BEDFORD COMMONS
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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 | 603-668-1841
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Fax | 603-668-2786
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROLAND M GLASSMAN
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Credential | M.D.
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Telephone | 603-668-1841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 6670
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License Number State | NH
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