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General NPI Number Information
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NPI Number | 1912006024
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Entity Type | Individual
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Provider Name | WILLIAM C. PRINCE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1635 S DON ROSER DR
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City | LAS CRUCES
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State | NM
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Zip | 88011
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Country | US
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Telephone | 323-804-3590
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Fax |
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Provider Business Mailing Address
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Address Line | 150 THE PROMENADE N UNIT 515
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City | LONG BEACH
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State | CA
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Zip | 90802-4757
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Country | US
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Telephone | 323-804-3590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22883
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License Number State | CA
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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 | PSY1675
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | PSY-2025-0107
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License Number State | NM
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