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General NPI Number Information
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NPI Number | 1871417667
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Entity Type | Organization
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Legal Business Name | GLASS MERIDIAN
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 4425 S MOPAC EXPY STE 502
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City | AUSTIN
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State | TX
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Zip | 78735-6725
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Country | US
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Telephone | 631-521-9745
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 ONION CREEK PKWY APT 3104
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City | AUSTIN
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State | TX
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Zip | 78748-1970
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Country | US
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Telephone | 631-521-9745
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | JESSICA GLASS
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Credential | L.AC, LMT
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Telephone | 631-521-9745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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