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General NPI Number Information
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NPI Number | 1023763737
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Entity Type | Organization
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Legal Business Name | WRIGHTSIDE INCORPORATED
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 2315 MONARCH TERRACE DRIVE.
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 346-454-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 MONARCH TERRACE DRIVE.
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 346-454-0389
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MRS. MARVIN MENDEZ-WRIGHT
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Credential |
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Telephone | 346-454-0389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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