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General NPI Number Information
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NPI Number | 1710287206
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Entity Type | Individual
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Provider Name | PHYLLIS LAUSCHE PRICE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/30/2010
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 300 HOLLYWOOD WAY
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City | HOLLYWOOD
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State | FL
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Zip | 33021-7059
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Country | US
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Telephone | 954-265-5157
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Fax | 954-985-1810
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Provider Business Mailing Address
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Address Line | 300 HOLLYWOOD WAY
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City | HOLLYWOOD
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State | FL
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Zip | 33021-7059
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Country | US
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Telephone | 954-265-5157
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Fax | 954-985-1810
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | ME21366
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License Number State | FL
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