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General NPI Number Information
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NPI Number | 1073298899
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Entity Type | Individual
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Provider Name | KRISHONDA WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 43213 MISSION BLVD
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City | FREMONT
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State | CA
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Zip | 94539-5826
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Country | US
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Telephone | 510-284-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 PARK AVE APT A
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City | ALAMEDA
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State | CA
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Zip | 94501-7659
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Country | US
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Telephone | 510-827-9958
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Fax |
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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