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General NPI Number Information
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NPI Number | 1912539511
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Entity Type | Individual
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Provider Name | MS. AMBER LEE PRICE
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 428 S GILBERT RD STE 114
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City | GILBERT
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State | AZ
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Zip | 85296-2262
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Country | US
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Telephone | 480-278-3918
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | GILBERT
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State | AZ
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Zip | 85299-1847
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Country | US
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Telephone | 480-278-3918
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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