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General NPI Number Information
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NPI Number | 1053322933
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Entity Type | Organization
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Legal Business Name | STEPHANIE PRICE-HARRIS, O.D., P.A.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 12417 OCEAN GTWY SUITE #14
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City | OCEAN CITY
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State | MD
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Zip | 21842-9521
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Country | US
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Telephone | 410-213-9020
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Fax | 410-213-9030
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Provider Business Mailing Address
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Address Line | 12417 OCEAN GTWY SUITE #14
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City | OCEAN CITY
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State | MD
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Zip | 21842-9521
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Country | US
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Telephone | 410-213-9020
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Fax | 410-213-9030
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. STEPHANIE JO PRICE-HARRIS
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Credential | O.D.
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Telephone | 410-213-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1788
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License Number State | MD
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