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General NPI Number Information
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NPI Number | 1104968569
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Entity Type | Organization
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Legal Business Name | LOUIS WRIGHT MEDICAL, INC.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2950 RIVERBEND WALK
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-0017
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Country | US
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Telephone | 770-957-0320
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Fax | 770-914-2792
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Provider Business Mailing Address
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Address Line | PO BOX 16629
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City | FERNANDINA BEACH
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State | FL
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Zip | 32035-3128
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Country | US
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Telephone | 770-957-0320
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Fax | 770-914-2792
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DENISE RIDGEWAY WRIGHT
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Credential |
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Telephone | 770-957-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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