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General NPI Number Information
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NPI Number | 1861653768
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Entity Type | Individual
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Provider Name | KATIE GRUBBS PRICE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 600 N WHEELER AVE
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City | PROSPERITY
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State | SC
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Zip | 29127-9332
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Country | US
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Telephone | 334-255-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 630
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City | PROSPERITY
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State | SC
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Zip | 29127-0630
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Country | US
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Telephone | 803-364-4852
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16019
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License Number State | HI
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