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General NPI Number Information
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NPI Number | 1336313618
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Entity Type | Individual
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Provider Name | THOMAS E. PRITT. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 475 N 300 W SUITE 14
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City | KAYSVILLE
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State | UT
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Zip | 84037-3125
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Country | US
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Telephone | 801-529-7982
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Fax | 801-544-6558
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Provider Business Mailing Address
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Address Line | 690 EAST CENTER ST. ASSOCIATION FOR PERSONAL DEVELOPMENT
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City | KAYSVILLE
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State | UT
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Zip | 84037
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Country | US
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Telephone | 801-544-1166
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Fax | 801-544-6558
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 107840-2501
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License Number State | UT
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