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General NPI Number Information
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NPI Number | 1548581432
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Entity Type | Individual
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Provider Name | MEREDITH LINDSAY PRICE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 43151 DALCOMA DR
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City | CLINTON TWP
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State | MI
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Zip | 48038-6306
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Country | US
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Telephone | 586-286-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SYCAMORE LN
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City | GROSSE POINTE
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State | MI
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Zip | 48230-1936
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Country | US
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Telephone |
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 4301094842
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License Number State | MI
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