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General NPI Number Information
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NPI Number | 1053264135
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Entity Type | Individual
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Provider Name | MR. ERIC PRICE II
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Gender | Male
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2500 NOTTINGHAM WAY
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City | ALBANY
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State | GA
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Zip | 31707-6677
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Country | US
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Telephone | 229-435-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 167 LAURELBROOK DR
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City | LEESBURG
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State | GA
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Zip | 31763-4925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | GA
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