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General NPI Number Information
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NPI Number | 1639355068
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Entity Type | Organization
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Legal Business Name | ALAN TRAINO
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 769 LAFAYETTE AVE
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City | HAWTHORNE
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State | NJ
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Zip | 07506-2834
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Country | US
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Telephone | 973-427-2020
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Fax | 973-427-8866
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Provider Business Mailing Address
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Address Line | 769 LAFAYETTE AVE
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City | HAWTHORNE
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State | NJ
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Zip | 07506-2834
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Country | US
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Telephone | 973-427-2020
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Fax | 973-427-8866
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Authorized Official
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Title or Position | OWNER/ OPTICIAN
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Name | MR. ALAN TRAINO
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Credential | OPTICIAN
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Telephone | 973-427-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | D-1537
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | D1537
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License Number State | NJ
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