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General NPI Number Information
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NPI Number | 1487847935
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Entity Type | Individual
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Provider Name | CYNARO PRITCHETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 5175 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-2425
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Country | US
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Telephone | 614-575-1200
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Fax | 614-575-9405
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Provider Business Mailing Address
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Address Line | 7385 STATE ROUTE 3 UNIT 54
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City | WESTERVILLE
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State | OH
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Zip | 43082-8654
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Country | US
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Telephone | 484-348-9486
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Fax | 253-563-2155
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35069666
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License Number State | OH
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