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NPI 1821278912

NPI 1821278912 : DAVID S GLOSS II MD : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1821278912
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID S GLOSS II MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/06/2007
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    10101 PARK ROWE AVE STE 200 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70810-1685
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    Country              |    US
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    Telephone            |    225-769-2200
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    Fax                  |    833-756-2680
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Provider Business Mailing Address
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    Address Line         |    10101 PARK ROWE AVE STE 200 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70810-1685
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    Country              |    US
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    Telephone            |    225-769-2200
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    Fax                  |    833-756-2680
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    26580
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    2084N0600X
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    Taxonomy Name        |    Clinical Neurophysiology Physician
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    License Number       |    26580
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    License Number State |    WV
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Taxonomy #3
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    200319
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    License Number State |    LA
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