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General NPI Number Information
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NPI Number | 1063419059
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Entity Type | Individual
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Provider Name | FREDRIC V. PRICE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212
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Country | US
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Telephone | 412-578-6808
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Fax | 412-688-7517
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Provider Business Mailing Address
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Address Line | 320 E NORTH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15212-4756
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Country | US
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Telephone | 412-578-6808
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Fax | 412-688-7517
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 039997E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number | MD039997E
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License Number State | PA
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