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Individual

CAROL F DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
165 TOR CT, HILLCREST CAMPUS OCCUPATIONAL HEALTH DEPT, PITTSFIELD, MA 01201-3001
(413) 447-3036
(413) 445-9571
Mailing address
322 LANESBORO RD, CHESHIRE, MA 01225-9700
(413) 743-5850
(413) 684-5251

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
141312
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141312
MASS LICENSE
MA
Enumeration date
04/02/2007
Last updated
07/08/2007
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