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General NPI Number Information
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NPI Number | 1942403712
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Entity Type | Individual
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Provider Name | LYUDMILA GLAZMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 335 GEORGE ST STE 1300 P.O. 2688
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2036
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Country | US
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Telephone | 609-272-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CHICKADEE WAY
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-3561
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Country | US
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Telephone | 609-689-1141
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA05746700
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License Number State | NJ
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