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General NPI Number Information
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NPI Number | 1104182260
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Entity Type | Individual
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Provider Name | GERALD W WRIGHT RPH
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Gender | Male
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 1726 BREWERS MILL RD
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City | ELBERTON
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State | GA
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Zip | 30635-3490
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Country | US
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Telephone | 706-961-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 1726 BREWERS MILL RD
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City | ELBERTON
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State | GA
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Zip | 30635-3490
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Country | US
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Telephone | 706-961-3171
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11920
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS18934
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH025305
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1909
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License Number State | AK
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