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General NPI Number Information
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NPI Number | 1467925792
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Entity Type | Organization
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Legal Business Name | PRICE PSYCHIATRY PLLC
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 893 US 70 HWY W STE 208
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City | GARNER
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State | NC
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Zip | 27529-2597
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Country | US
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Telephone | 919-438-3811
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Fax | 919-882-1720
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Provider Business Mailing Address
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Address Line | 2608 CRAVENRIDGE PL
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City | GARNER
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State | NC
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Zip | 27529-5135
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Country | US
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Telephone | 919-438-3811
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Fax | 919-882-1720
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Authorized Official
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Title or Position | OWNER
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Name | DR. NERISSA MARGE PRICE
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Credential | MD
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Telephone | 919-438-3811
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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 |
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License Number State |
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