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General NPI Number Information
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NPI Number | 1417175969
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Entity Type | Organization
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Legal Business Name | CHARLES S. PRICE, M.D., LTD
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 313 FLINT ST
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City | RENO
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State | NV
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Zip | 89501-2005
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Country | US
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Telephone | 775-324-5466
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Fax | 775-324-5422
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Provider Business Mailing Address
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Address Line | 313 FLINT ST
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City | RENO
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State | NV
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Zip | 89501-2005
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Country | US
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Telephone | 775-324-5466
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Fax | 775-324-5422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES SOWLE PRICE
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Credential | M.D.
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Telephone | 775-324-5466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 8683
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License Number State | NV
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