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General NPI Number Information
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NPI Number | 1336021831
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Entity Type | Individual
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Provider Name | ALYSSA RENEE HUMPHREY HIS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 510 NORTH ST STE 10
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City | PITTSFIELD
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State | MA
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Zip | 01201-4127
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Country | US
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Telephone | 413-448-8291
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Fax | 413-447-9040
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Provider Business Mailing Address
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Address Line | 510 NORTH ST STE 10
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City | PITTSFIELD
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State | MA
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Zip | 01201-4127
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Country | US
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Telephone | 413-448-8291
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Fax | 413-447-9040
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HES6592
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License Number State | MA
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