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General NPI Number Information
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NPI Number | 1922351956
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Entity Type | Individual
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Provider Name | PHOEBE ANN PRITCHETT R.N.
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 1801 POPLAR DR APARTMENT 5
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City | MEDFORD
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State | OR
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Zip | 97504-4672
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Country | US
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Telephone | 541-499-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 POPLAR DR APARTMENT 5
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City | MEDFORD
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State | OR
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Zip | 97504-4672
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Country | US
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Telephone | 541-499-6302
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 084051447RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 084051447RN
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 084051447RN
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License Number State | OR
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