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General NPI Number Information
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NPI Number | 1053005561
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Entity Type | Organization
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Legal Business Name | WARREN W WRIGHT ENTERPRISES
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 217 CENTRAL AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1217
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Country | US
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Telephone | 240-221-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 111 WASHINGTON GROVE LN UNIT 243
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City | WASHINGTON GROVE
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State | MD
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Zip | 20880-7510
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Country | US
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Telephone | 240-221-1950
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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 | RYAN WRIGHT
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Credential | LSCW-C
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Telephone | 240-221-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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