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General NPI Number Information
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NPI Number | 1629050752
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Entity Type | Individual
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Provider Name | ROBERT M PRITCHETT MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 2700 10TH AVE S STE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1200
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Country | US
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Telephone | 205-933-7710
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Fax | 205-933-8685
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Provider Business Mailing Address
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Address Line | 2700 10TH AVE S STE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1200
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Country | US
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Telephone | 205-933-7710
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Fax | 205-933-8685
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 7094
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 7094
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 7094
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License Number State | AL
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