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General NPI Number Information
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NPI Number | 1962622340
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Entity Type | Individual
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Provider Name | GARY L. GLASBAND D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6226 E SPRING ST STE 350
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City | LONG BEACH
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State | CA
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Zip | 90815-1447
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Country | US
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Telephone | 562-425-5511
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Fax | 562-425-9685
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Provider Business Mailing Address
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Address Line | 6226 E. SPRING ST. #350
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City | LONG BEACH
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State | CA
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Zip | 90815
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Country | US
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Telephone | 562-425-5511
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Fax | 562-425-9685
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 33460
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License Number State | CA
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