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General NPI Number Information
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NPI Number | 1962596247
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Entity Type | Individual
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Provider Name | JENNIFER M. PRITCHETT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3065 GEORGE WASHINGTON MEMORIAL HWY
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City | HAYES
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State | VA
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Zip | 23072-3300
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Country | US
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Telephone | 804-642-2652
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Fax | 804-642-1504
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Provider Business Mailing Address
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Address Line | 277 MILL LANE RD
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City | FOSTER
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State | VA
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Zip | 23056-2051
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Country | US
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Telephone | 804-642-2652
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Fax | 804-642-1504
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0710001290
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License Number State | VA
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