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NPI 1518992817

NPI 1518992817 : JAMES L PRICE JR. MD : MT PLEASANT, SC

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General NPI Number Information
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    NPI Number           |    1518992817
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES L PRICE JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    10/02/2019
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Provider Practice Location Address
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    Address Line         |    594 LONE TREE DR BLDG 6 
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    City                 |    MT PLEASANT
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    State                |    SC
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    Zip                  |    29464-8170
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    Country              |    US
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    Telephone            |    843-958-2500
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    Fax                  |    843-958-2680
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Provider Business Mailing Address
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    Address Line         |    PO BOX 751649 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28275-1649
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    Country              |    US
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    Telephone            |    843-789-1620
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    Fax                  |    843-724-2440
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    12392
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    12392
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    License Number State |    SC
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