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General NPI Number Information
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NPI Number | 1659678316
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Entity Type | Organization
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Legal Business Name | GLENART GROUP, INC.
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 1841 COLUMBIA ROAD, NW, SUITE A
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City | WASHINGTON
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State | DC
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Zip | 20009
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Country | US
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Telephone | 866-838-3430
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Fax | 301-838-3063
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Provider Business Mailing Address
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Address Line | 600 JEFFERSON PLAZA, SUITE 430
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City | ROCKVILLE
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State | MD
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Zip | 20852
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Country | US
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Telephone | 866-838-3430
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Fax | 301-838-3063
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Authorized Official
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Title or Position | SR. VP
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Name | MR. DON GLADSTONE
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Credential |
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Telephone | 18668383430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN1000709
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License Number State | DC
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