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General NPI Number Information
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NPI Number | 1558855700
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Entity Type | Individual
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Provider Name | JENNIFER PRICE MS, RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1026 TWELVE OAKS PL STE A
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City | WATKINSVILLE
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State | GA
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Zip | 30677-4917
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Country | US
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Telephone | 706-201-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 MORTON RD
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City | ATHENS
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State | GA
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Zip | 30605-5021
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Country | US
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Telephone | 706-201-6997
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD004778
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License Number State | GA
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