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General NPI Number Information
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NPI Number | 1891773842
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Entity Type | Individual
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Provider Name | WILL J PRICE III MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 88 ANSEL HALLET RD
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City | WEST YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-771-4848
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Fax | 508-775-4103
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Provider Business Mailing Address
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Address Line | 50 STANIFORD ST STE 600
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City | BOSTON
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State | MA
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Zip | 02114-2517
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Country | US
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Telephone | 617-367-4800
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Fax | 617-723-7028
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 29242
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License Number State | MA
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