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General NPI Number Information
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NPI Number | 1770892820
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Entity Type | Individual
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Provider Name | DANIEL GLATZ MPT, PT, MS
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Gender | Male
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 12620 PERRY HWY
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City | WEXFORD
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State | PA
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Zip | 15090-8662
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Country | US
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Telephone | 724-816-3583
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Fax | 724-821-9555
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Provider Business Mailing Address
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Address Line | 12620 PERRY HWY
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City | WEXFORD
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State | PA
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Zip | 15090-8662
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Country | US
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Telephone | 724-816-3583
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Fax | 724-821-9555
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT011622L
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License Number State | PA
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