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NPI 1427250273

NPI 1427250273 : JOSEPH HENRY PRITCHARD III M. DIV. : RENO, NV

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General NPI Number Information
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    NPI Number           |    1427250273
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH HENRY PRITCHARD III M. DIV.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    350 S CENTER ST STE 500 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89501-2114
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    Country              |    US
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    Telephone            |    775-328-3930
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1275 PLUMAS ST 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-2746
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    Country              |    US
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    Telephone            |    775-329-1275
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    Fax                  |    775-328-3927
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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