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General NPI Number Information
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NPI Number | 1144577636
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Entity Type | Organization
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Legal Business Name | JOYCE PRITCHARD MD PC
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 1575 W 7000 S
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City | WEST JORDAN
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State | UT
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Zip | 84084-3431
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Country | US
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Telephone | 801-569-9133
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Fax | 801-569-9103
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Provider Business Mailing Address
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Address Line | 1575 W 7000 S
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City | WEST JORDAN
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State | UT
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Zip | 84084-3431
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Country | US
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Telephone | 801-569-9133
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Fax | 801-569-9103
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOYCE PRITCHARD
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Credential | MD
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Telephone | 801-569-9133
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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 | 7770205-1205
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License Number State | UT
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