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General NPI Number Information
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NPI Number | 1962614453
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Entity Type | Organization
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Legal Business Name | ANTHONY L GLASSMAN, MD PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 1813 W. HARVARD SUITE 241
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City | ROSEBURG
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State | OR
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Zip | 97471-8708
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Country | US
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Telephone | 541-673-5579
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 W. HARVARD SUITE 241
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City | ROSEBURG
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State | OR
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Zip | 97471-8708
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Country | US
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Telephone | 541-673-5579
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ANTHONY GLASSMAN
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Credential | MD
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Telephone | 541-673-5579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD20054
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License Number State | OR
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