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General NPI Number Information
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NPI Number | 1184692212
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Entity Type | Individual
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Provider Name | LEE S ALTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 01/21/2017
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Provider Practice Location Address
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Address Line | 1044 CENTRAL ST SUITE 103
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City | STOUGHTON
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State | MA
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Zip | 02072-4423
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Country | US
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Telephone | 781-436-8390
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Fax | 781-436-8392
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Provider Business Mailing Address
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Address Line | 1044 CENTRAL ST SUITE 103
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City | STOUGHTON
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State | MA
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Zip | 02072-4423
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Country | US
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Telephone | 781-436-8390
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Fax | 781-436-8392
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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 | 80696
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License Number State | MA
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