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General NPI Number Information
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NPI Number | 1790749844
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Entity Type | Individual
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Provider Name | GLENN EIGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 5401 OLD YORK RD BLDG STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3030
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Country | US
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Telephone | 215-456-6950
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Fax | 215-455-1933
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Provider Business Mailing Address
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Address Line | 5401 OLD YORK RD KLEIN 300
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3030
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Country | US
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Telephone | 215-456-6950
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Fax | 215-456-1766
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD043089L
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License Number State | PA
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