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General NPI Number Information
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NPI Number | 1235514910
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Entity Type | Individual
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Provider Name | TERESA PRICE PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 1005 W 18TH ST
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City | ANNISTON
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State | AL
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Zip | 36201-3588
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Country | US
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Telephone | 256-236-6060
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Fax | 256-236-6172
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Provider Business Mailing Address
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Address Line | 1005 W 18TH ST
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City | ANNISTON
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State | AL
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Zip | 36201-3588
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Country | US
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Telephone | 256-236-6060
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Fax | 256-236-6172
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA988
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License Number State | AL
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