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General NPI Number Information
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NPI Number | 1861561706
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Entity Type | Individual
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Provider Name | ALAN JOHN DUMAINE MA CCCA
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 28 N MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1971
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Country | US
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Telephone | 860-561-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 28 NORTH MAIN STREET HEARING IMPROVEMENT CENTER LLC
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1971
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Country | US
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Telephone | 860-561-2345
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Fax | 860-561-2666
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 0154
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License Number State | CT
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