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General NPI Number Information
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NPI Number | 1013118652
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Entity Type | Organization
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Legal Business Name | ROBERT H PRICE MD, PLLC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 10315 19TH AVE SE STE 112
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City | EVERETT
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State | WA
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Zip | 98208-4268
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Country | US
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Telephone | 425-379-7191
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Fax | 425-379-8271
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Provider Business Mailing Address
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Address Line | 10315 19TH AVE SE STE 112
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City | EVERETT
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State | WA
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Zip | 98208-4268
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Country | US
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Telephone | 425-379-7191
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Fax | 425-379-8271
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROBERT H. PRICE
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Credential | MD
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Telephone | 425-379-7191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | MD00025709
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD00025709
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License Number State | WA
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