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General NPI Number Information
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NPI Number | 1255399440
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Entity Type | Individual
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Provider Name | DEAN ALAN BLASS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 BOSTON ST
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City | LYNN
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State | MA
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Zip | 01904-3137
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Country | US
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Telephone | 781-595-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 7 THERESA RD
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City | PEABODY
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State | MA
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Zip | 01960-2011
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Country | US
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Telephone | 781-595-4544
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 55164
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License Number State | MA
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