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General NPI Number Information
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NPI Number | 1417162967
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Entity Type | Organization
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Legal Business Name | DONALD M. HUMEN, DMD,PA
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 RIVERSIDE STREET
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-882-6100
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Fax | 603-882-5106
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Provider Business Mailing Address
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Address Line | 29 RIVERSIDE STREET
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-882-6100
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Fax | 603-882-5106
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD M. HUMEN
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Credential | DMD
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Telephone | 603-882-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1211
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License Number State | NH
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