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General NPI Number Information
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NPI Number | 1922027259
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Entity Type | Individual
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Provider Name | GLENN M. RICH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 15 CORPORATE DR SUITE 2-1
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City | TRUMBULL
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State | CT
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Zip | 06611-1351
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Country | US
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Telephone | 203-452-2446
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Fax | 203-452-2424
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Provider Business Mailing Address
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Address Line | 15 CORPORATE DR SUITE 2-1
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City | TRUMBULL
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State | CT
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Zip | 06611-1351
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Country | US
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Telephone | 203-452-2446
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Fax | 203-452-2424
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 032294
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 032294
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License Number State | CT
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