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General NPI Number Information
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NPI Number | 1417147638
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Entity Type | Organization
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Legal Business Name | DONALD H PRITCHARD MD PA
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 09/21/2008
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Provider Practice Location Address
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Address Line | 9030 W FORT ISLAND TRL SUITE 3
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-2412
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Country | US
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Telephone | 352-564-2077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1442
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City | CRYSTAL RIVER
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State | FL
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Zip | 34423-1442
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Country | US
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Telephone | 443-869-5365
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD H PRITCHARD
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Credential | M.D., PA
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Telephone | 443-869-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME65084
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License Number State | FL
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