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Individual
VICTORIA LYNN PITCHFORD
Active
Individual
VICTORIA LYNN PITCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000589901
ANTHEM
IN
05
—
200544800
—
IN
01
—
P01170029
RR MEDICARE PTAN
IN
Enumeration date
09/27/2006
Last updated
06/17/2013
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