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General NPI Number Information
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NPI Number | 1407980600
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Entity Type | Individual
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Provider Name | JANET M. PRICE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 425 NORTH LAKE AVE
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City | WORCESTER
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State | MA
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Zip | 01605
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Country | US
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Telephone | 508-595-2855
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Fax | 508-595-2602
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Provider Business Mailing Address
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Address Line | PROVIDER ENROLLMENT 100 FRONT STREET 12TH FLOOR
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City | WORCESTER
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State | MA
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Zip | 01608
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Country | US
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Telephone | 508-368-5510
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Fax | 508-368-5530
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 76666
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License Number State | MA
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