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General NPI Number Information
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NPI Number | 1437262045
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Entity Type | Individual
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Provider Name | CAROLYN E PRICE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 4407 LITTLE RD STE 680
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City | ARLINGTON
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State | TX
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Zip | 76016-5628
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Country | US
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Telephone | 817-516-1115
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Fax | 817-516-1104
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Provider Business Mailing Address
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Address Line | 22715 WASHINGTON ST 102
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City | LEONARDTOWN
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State | MD
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Zip | 20650-3814
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Country | US
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Telephone | 301-997-0172
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Fax | 301-997-0175
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1147001
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License Number State | TX
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