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General NPI Number Information
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NPI Number | 1952854630
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Entity Type | Organization
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Legal Business Name | DUMAS THERAPY
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 3203 VINEVILLE AVE SUITE B
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City | MACON
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State | GA
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Zip | 31204-2323
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Country | US
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Telephone | 478-731-9477
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Fax | 877-703-4584
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Provider Business Mailing Address
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Address Line | 3203 VINEVILLE AVE SUITE B
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City | MACON
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State | GA
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Zip | 31204-2323
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Country | US
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Telephone | 478-731-9477
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Fax | 877-703-4584
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Authorized Official
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Title or Position | CEO
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Name | MRS. HARRIETT LACHELLE DUMAS
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Credential | OTR/L
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Telephone | 478-731-5235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OT002530
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License Number State | GA
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