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General NPI Number Information
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NPI Number | 1841273158
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Entity Type | Individual
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Provider Name | JESS P PRICE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 7331 E OSBORN DR SUITE 230
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-292-9604
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Fax | 480-292-9614
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Provider Business Mailing Address
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Address Line | 1301 S 7TH AVE 400
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City | PHOENIX
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State | AZ
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Zip | 85007-3957
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Country | US
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Telephone | 602-824-3379
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Fax | 602-824-4117
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01057218A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0673
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License Number State | AZ
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