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General NPI Number Information
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NPI Number | 1700994100
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Entity Type | Individual
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Provider Name | DENNIS MICHAEL HALLINAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 6716 TOWNE CENTER BLVD
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City | HUNTINGDON
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State | PA
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Zip | 16652-6933
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Country | US
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Telephone | 814-644-6926
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Fax | 814-644-6928
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Provider Business Mailing Address
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Address Line | 1121 22ND AVE
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City | ALTOONA
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State | PA
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Zip | 16601-3006
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Country | US
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Telephone | 814-943-4997
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001577
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License Number State | PA
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