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General NPI Number Information
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NPI Number | 1972796480
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Entity Type | Organization
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Legal Business Name | JULIE E S PRICE M.D., LLC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 1300 LAKEWOOD DR SUITE E
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City | MORGAN CITY
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State | LA
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Zip | 70380-1866
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Country | US
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Telephone | 985-221-4400
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Fax | 985-221-4404
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Provider Business Mailing Address
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Address Line | 1300 LAKEWOOD DR SUITE E
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City | MORGAN CITY
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State | LA
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Zip | 70380-1866
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Country | US
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Telephone | 985-221-4400
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Fax | 985-221-4404
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Authorized Official
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Title or Position | PHYSCIAN
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Name | JULIE E.S. PRICE
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Credential | M.D.
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Telephone | 985-221-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD 026513
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License Number State | LA
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