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General NPI Number Information
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NPI Number | 1720275704
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Entity Type | Organization
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Legal Business Name | GARY J. PRICE, M.D., P.C.
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 5 DURHAM RD BLDG# 1, SUITE 8
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City | GUILFORD
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State | CT
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Zip | 06437-2076
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Country | US
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Telephone | 203-453-6635
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Fax | 203-458-7580
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Provider Business Mailing Address
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Address Line | 5 DURHAM RD BLDG# 1, SUITE 8
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City | GUILFORD
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State | CT
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Zip | 06437-2076
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Country | US
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Telephone | 203-453-6635
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Fax | 203-458-7580
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Authorized Official
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Title or Position | PRESIDENT / DIRECTOR
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Name | DR. GARY J. PRICE
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Credential | M.D.
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Telephone | 203-453-6635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 023634
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License Number State | CT
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