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General NPI Number Information
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NPI Number | 1033880083
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Entity Type | Individual
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Provider Name | AMANDA E WRIGHT CRDH
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 12692 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-8431
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Country | US
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Telephone | 239-417-6453
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Fax | 239-775-6628
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Provider Business Mailing Address
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Address Line | 12692 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-8431
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Country | US
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Telephone | 239-417-6453
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Fax | 239-775-6628
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH24084
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License Number State | FL
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