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NPI Code Detail

MEDICARE: DOROTHY CLOSE

MEDICARE: DOROTHY CLOSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist02551RI

General Provider Information

NPI Number : 1124672936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY CLOSE
Provider Business Mailing Address
First Line : 251 WATERMAN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-5235
Country : US
Telephone Number : 401-453-4263
Fax Number :
Provider Business Practice Location Address
First Line : 251 WATERMAN ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-5235
Country : US
Telephone Number : 401-453-4263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2019
Last Update Date : 07/30/2019

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Directions to “ DOROTHY CLOSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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