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General NPI Number Information
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NPI Number | 1770807281
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Entity Type | Organization
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Legal Business Name | DR. LEONARD C. GLASER, M.D.P.C.
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 360 N MAIN ST SUITE 3
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2503
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Country | US
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Telephone | 860-621-8361
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Fax | 860-621-6275
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Provider Business Mailing Address
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Address Line | 360 N MAIN ST SUITE 3
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2503
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Country | US
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Telephone | 860-621-8361
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Fax | 860-621-6275
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Authorized Official
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Title or Position | PHYSICIAN/MD
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Name | DR. LEONARD CHARLES GLASER
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Credential | M.D.
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Telephone | 860-621-8361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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