MEDICARE: AURELIA PRICE

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
1	1041C0700X	Clinical Social Worker	5026	HI
2	104100000X	Social Worker	2624	HI

General Provider Information

NPI Number	:	1679032320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURELIA PRICE

Provider Business Mailing Address
First Line	:	PO BOX 10802
Second Line	:
City	:	HILO
State	:	HI
Zip	:	96721-5802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 10802
Second Line	:
City	:	HILO
State	:	HI
Zip	:	96721-5802
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	05/08/2026

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Directions to “ AURELIA PRICE ” Practice Location

Language	Start Address	Practice Location

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