Amanda Theresa Dafoe in Northborough - Clinical
Amanda Theresa Dafoe - NPI 1275602468
Amanda Theresa Dafoe is a Clinical in Northborough, Massachusetts. Amanda Theresa Dafoe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amanda Theresa Dafoe is 1275602468. The last update date is 2019-05-20.
Amanda Theresa Dafoe's current location address is 300 W Main St Bldg A, Northborough, Massachusetts. You can contact this provider via phone number 5083925884 and fax number 5082133561. The mailing address for Amanda Theresa Dafoe is 300 W Main St Bldg A, Northborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Theresa Dafoe |
|---|---|
| Address | 300 W Main St Bldg A, Northborough, Massachusetts |
| Phone Number | 5083925884 |
| Fax Number | 5082133561 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1275602468 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2019-05-20 |
Provider Mailing Address Detail
| Address | 300 W Main St Bldg A |
|---|---|
| City | Northborough |
| State | Massachusetts (MA) |
| Post Code | 15322132 |
| Phone Number | 5083925884 |
| Fax Number | 5082133561 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 118068 |
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What is the unique identifier code issued to Amanda Theresa Dafoe by the Centers for Medicare & Medicaid Services?
The Amanda Theresa Dafoe has been assigned the NPI (National Provider Identifier) 1275602468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Amanda Theresa Dafoe is geographically located?
The Amanda Theresa Dafoe is physically situated at the following location: 300 W Main St Bldg A, Northborough, MA, 15322132.
What is Amanda Theresa Dafoe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amanda Theresa Dafoe is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275602468 to Amanda Theresa Dafoe?
The Amanda Theresa Dafoe received its 1275602468 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date were the Amanda Theresa Dafoe's details last updated?
The information pertaining to the Amanda Theresa Dafoe, including its address, specialty, and other details, was most recently updated on 2019-05-20.
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