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General NPI Number Information
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NPI Number | 1104375377
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Entity Type | Individual
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Provider Name | MARY KATHRYN WRIGHT A.P.R.N
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Gender | Female
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 10250 NORMANDY BLVD SUITE #703
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City | JACKSONVILLE
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State | FL
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Zip | 32221-8059
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Country | US
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Telephone | 904-495-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 WHITE SANDS DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4597
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Country | US
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Telephone | 802-899-5889
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 124799
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9431346
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License Number State | FL
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