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General NPI Number Information
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NPI Number | 1154500262
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Entity Type | Organization
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Legal Business Name | T. A. PRITCHARD, M.D., P.C.
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 646 COX CREEK PKWY SUITE B
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City | FLORENCE
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State | AL
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Zip | 35630-1176
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Country | US
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Telephone | 256-764-9994
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Fax | 256-246-0035
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Provider Business Mailing Address
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Address Line | 646 COX CREEK PKWY SUITE B
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City | FLORENCE
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State | AL
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Zip | 35630-1176
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Country | US
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Telephone | 256-764-9994
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Fax | 256-246-0035
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CINDY HOOKS
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Credential |
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Telephone | 256-246-0030
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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 | 9036
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License Number State | AL
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