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General NPI Number Information
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NPI Number | 1578752994
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Entity Type | Individual
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Provider Name | NIKKI JEANNE PRITCHETT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 942 LEARNING WAY ASKEW STUDENT LIFE CENTER, SUITE 201
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City | TALLAHASSEE
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State | FL
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Zip | 32306-4175
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Country | US
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Telephone | 850-644-2003
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Fax | 850-644-3150
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Provider Business Mailing Address
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Address Line | 942 LEARNING WAY ASKEW STUDENT LIFE CENTER, SUITE 201
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City | TALLAHASSEE
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State | FL
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Zip | 32306-4175
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Country | US
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Telephone | 850-644-2003
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Fax | 850-644-3150
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY 5900
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License Number State | FL
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