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General NPI Number Information
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NPI Number | 1477567451
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Entity Type | Organization
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Legal Business Name | PRESCOTT HEALTH CARE
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 130 ELM ST
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City | WORCESTER
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State | MA
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Zip | 01609-1903
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Country | US
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Telephone | 508-754-1803
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Fax | 508-792-9713
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Provider Business Mailing Address
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Address Line | 130 ELM ST
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City | WORCESTER
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State | MA
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Zip | 01609-1903
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Country | US
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Telephone | 508-754-1803
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Fax | 508-792-9713
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Authorized Official
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Title or Position | GENERAL MANAGING PARTNER
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Name | MOHAMAD R OCH
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Credential | M.D.
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Telephone | 508-754-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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