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General NPI Number Information
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NPI Number | 1740511401
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Entity Type | Organization
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Legal Business Name | CHAD T PRICE MD PC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1616 W MAIN ST SUITE 203
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City | LEBANON
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State | TN
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Zip | 37087-3100
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Country | US
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Telephone | 615-444-4406
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Fax | 615-449-3174
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | LEBANON
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State | TN
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Zip | 37088-0725
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Country | US
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Telephone | 615-444-4406
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Fax | 615-449-3174
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | CHAD THOMAS PRICE
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Credential | M.D.
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Telephone | 615-444-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 42715
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License Number State | TN
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