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General NPI Number Information
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NPI Number | 1598583445
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Entity Type | Individual
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Provider Name | CEDRIC PRICE
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Gender | Male
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 878 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14612-3049
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Country | US
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Telephone | 585-723-3051
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Fax |
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Provider Business Mailing Address
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Address Line | 103 COURT ST APT 317
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City | ROCHESTER
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State | NY
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Zip | 14604-1842
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Country | US
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Telephone | 229-254-8968
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 072032
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License Number State | NY
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