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General NPI Number Information
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NPI Number | 1962974576
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Entity Type | Organization
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Legal Business Name | GLASGOW INC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1 HOAG DR BLDG 39, 1ST FLOOR
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 18521 ROBIN WAY
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City | VILLA PARK
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State | CA
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Zip | 92861-2751
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN/BILLING MANAGER
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Name | MRS. REBECA LAGUNA
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Credential |
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Telephone | 442-600-5128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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