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General NPI Number Information
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NPI Number | 1902896665
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Entity Type | Individual
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Provider Name | ALAN R ALTMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 268 TINKER ST
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City | WOODSTOCK
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State | NY
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Zip | 12498-1129
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Country | US
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Telephone | 845-670-6083
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Fax |
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Provider Business Mailing Address
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Address Line | 96 HARMATI LN
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City | BEARSVILLE
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State | NY
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Zip | 12409-5129
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Country | US
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Telephone | 845-679-2832
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 027240
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License Number State | NY
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