Dimereze Mary Clark in Boothbay - Dietitian, Registered
Dimereze Mary Clark - NPI 1144330432
Dimereze Mary Clark is a Dietitian, Registered in Boothbay, Maine. Dimereze Mary Clark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Dimereze Mary Clark is 1144330432. The last update date is 2007-07-08.
Dimereze Mary Clark's current location address is 7 Wildernesss Dr, Boothbay, Maine. You can contact this provider via phone number 2076333780 and fax number 2076331276. The mailing address for Dimereze Mary Clark is 7 Wildernesss Dr, Boothbay, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dimereze Mary Clark |
|---|---|
| Address | 7 Wildernesss Dr, Boothbay, Maine |
| Phone Number | 2076333780 |
| Fax Number | 2076331276 |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1144330432 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7 Wildernesss Dr |
|---|---|
| City | Boothbay |
| State | Maine (ME) |
| Post Code | 45375022 |
| Phone Number | 2076333780 |
| Fax Number | 2076331276 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D14 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identification code assigned to Dimereze Mary Clark by the Centers for Medicare & Medicaid Services?
The Dimereze Mary Clark has been issued the NPI (National Provider Identifier) 1144330432. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dimereze Mary Clark is geographically located?
The Dimereze Mary Clark is physically situated at the following location: 7 Wildernesss Dr, Boothbay, ME, 45375022.
What is Dimereze Mary Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dimereze Mary Clark's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date did the Dimereze Mary Clark receive its 1144330432 assignment from the Centers for Medicare & Medicaid Services?
The Dimereze Mary Clark was assigned its 1144330432 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information regarding Dimereze Mary Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dimereze Mary Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.