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General NPI Number Information
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NPI Number | 1467830455
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Entity Type | Individual
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Provider Name | JAMES BRYAN PRITCHETT D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 744 W 9TH ST
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City | TULSA
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State | OK
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Zip | 74127-9020
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Country | US
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Telephone | 918-599-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W 3RD ST
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City | ELK CITY
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State | OK
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Zip | 73644-5145
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Country | US
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Telephone | 580-821-5573
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 6039
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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