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General NPI Number Information
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NPI Number | 1215407911
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Entity Type | Individual
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Provider Name | DAVID JON PRITCHARD DC
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Gender | Male
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 1614 W WHISPERING WIND DR STE 3
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City | PHOENIX
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State | AZ
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Zip | 85085-0809
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Country | US
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Telephone | 602-345-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 24250 N 23RD AVE UNIT 3171
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City | PHOENIX
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State | AZ
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Zip | 85085-1989
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Country | US
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Telephone | 616-403-0387
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8767
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 8767
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License Number State | AZ
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