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NPI Code Detail

MEDICARE: DOROTHY J. FLASH MSW

MEDICARE:   DOROTHY J. FLASH  MSW
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
11041C0700XClinical Social Worker1015862MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P05465OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1669531497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY J. FLASH MSW
Provider Business Mailing Address
First Line : 36 WESTON AVE
Second Line : MASS BAY COUNSELING
City : QUINCY
State : MA
Zip : 02170-1833
Country : US
Telephone Number : 617-786-0137
Fax Number : 617-479-4798
Provider Business Practice Location Address
First Line : 36 WESTON AVE
Second Line : MASS BAY COUNSELING
City : QUINCY
State : MA
Zip : 02170-1833
Country : US
Telephone Number : 617-786-0137
Fax Number : 617-479-4798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 07/08/2007

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