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General NPI Number Information
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NPI Number | 1285639898
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Entity Type | Individual
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Provider Name | NICHOLAS W PRICE MD FACS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 603-7TH ST SO #500
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4734
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Country | US
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Telephone | 727-822-0442
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Fax | 727-821-0416
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Provider Business Mailing Address
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Address Line | 603 7TH ST SO #500
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4734
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Country | US
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Telephone | 727-822-0442
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Fax | 727-821-0416
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME40957
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME40957
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME40957
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License Number State | FL
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