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NPI 1508318809

NPI 1508318809 : JENNIFER PRITCHARD D.C. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1508318809
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER PRITCHARD D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2016
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    Last Update Date     |    05/13/2021
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Provider Practice Location Address
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    Address Line         |    1614 W WHISPERING WIND DR STE 3 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085
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    Country              |    US
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    Telephone            |    602-345-1984
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5940 W UNION HILLS DR 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85308-1308
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    Country              |    US
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    Telephone            |    
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    8685
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    License Number State |    AZ
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