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General NPI Number Information
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NPI Number | 1942581939
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Entity Type | Organization
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Legal Business Name | THREE S MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 16530 VENTURA BLVD SUUITE #600
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City | ENCINO
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State | CA
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Zip | 91436-4554
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Country | US
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Telephone | 818-382-9920
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Fax | 818-385-1155
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Provider Business Mailing Address
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Address Line | 16530 VENTURA BLVD SUITE #600
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City | ENCINO
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State | CA
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Zip | 91436-4554
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Country | US
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Telephone | 818-382-9920
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Fax | 818-385-1155
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID NEAL GLASER
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Credential | M. D.
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Telephone | 818-382-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G40041
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License Number State | CA
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