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General NPI Number Information
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NPI Number | 1912992199
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Entity Type | Individual
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Provider Name | ALAN DIMSON-DOYLE LICSW
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 10 POST OFFICE SQ SUITE 2
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City | SHARON
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State | MA
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Zip | 02067-1963
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Country | US
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Telephone | 781-784-3709
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MECHANIC ST STE 205
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City | FOXBORO
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State | MA
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Zip | 02035-2073
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Country | US
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Telephone | 781-784-3709
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111882
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License Number State | MA
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