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General NPI Number Information
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NPI Number | 1376668160
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Entity Type | Organization
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Legal Business Name | WILLIAM D. PRICE
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 133 E 1ST NORTH ST #3 MAGNOLIA SQUARE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6873
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Country | US
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Telephone | 843-871-1548
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Fax | 843-873-9414
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Provider Business Mailing Address
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Address Line | 133 E 1ST NORTH ST #3 MAGNOLIA SQUARE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-6873
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Country | US
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Telephone | 843-871-1548
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Fax | 843-873-9414
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM PRICE
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Credential | MD
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Telephone | 843-871-1548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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