DOROTHY PRINCE


Address: 182 Water St, Pembroke, MA 02359-1957
Phone: 7818264068

DOROTHY PRINCE (NPI# 1841766540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841766540
Entity Type Individual
Full Name DOROTHY PRINCE
Practice Address 182 Water St
Pembroke
MA 02359-1957
Practice Telephone 7818264068
Mailing Telephone 7818264068
Enumeration Date 2018-10-19
Last Update Date 2018-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
STUDENT Ambulatory Health Care Facilities

Office Location

Street Address 182 WATER ST
City PEMBROKE
State MA
Zip Code 02359-1957

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1558659680 Rachel S Cohen Social Worker 20 Winter Street, Pembroke, MA 02359 2011-07-11
1659552974 Kirsten Leah Evans Registered Nurse 7 Bartlett St, Pembroke, MA 02359 2007-11-15
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1912128463 Mary A Marek Social Worker 2 Columibia Road, Pembroke, MA 02359 2007-05-01
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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1841353158 Wpi Health Services Clinic/Center 100 Institute Road, Wpi Health Services, Worcester, MA 01609-2247 2006-12-18
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1912407875 Sarah M Blood Clinic/Center 282 Farmers Row, Groton, MA 01450-1848 2018-02-17
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Competitor

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City PEMBROKE
Zip Code 02359

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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