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General NPI Number Information
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NPI Number | 1821009960
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Entity Type | Individual
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Provider Name | DANIEL THOMAS PRICE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 2 DEVINE ST
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City | NORTH HAVEN
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State | CT
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Zip | 06473-2142
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Country | US
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Telephone | 203-789-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MARION LN
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2046
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Country | US
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Telephone | 203-389-5275
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 039452
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License Number State | CT
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