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General NPI Number Information
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NPI Number | 1467582643
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Entity Type | Individual
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Provider Name | JUDITH B PRICE D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 LYONS MALL PMB 342
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1928
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Country | US
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Telephone | 908-464-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 19 LENAPE CT
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-2677
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Country | US
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Telephone | 908-464-3636
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Fax | 908-464-6711
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MB05044500
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License Number State | NJ
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