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General NPI Number Information
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NPI Number | 1912144072
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Entity Type | Organization
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Legal Business Name | PRITCHETTE PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 4730 E WARNER RD SUITE 10
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City | PHOENIX
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State | AZ
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Zip | 85044-3320
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Country | US
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Telephone | 480-785-5738
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 E WARNER RD SUITE 10
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City | PHOENIX
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State | AZ
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Zip | 85044-3320
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Country | US
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Telephone | 480-785-5738
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Fax | 480-785-5761
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR OF PHYSICAL THERAP
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Name | DR. KEITH JAMES PRITCHETTE
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Credential | DPT
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Telephone | 480-785-5738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6265
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License Number State | AZ
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