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General NPI Number Information
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NPI Number | 1114178084
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Entity Type | Individual
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Provider Name | SETH J WRIGHT MA
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 957 INDUSTRIAL RD SUITE B
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City | SAN CARLOS
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State | CA
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Zip | 94070-4151
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Country | US
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Telephone | 415-730-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 509 RANDOLPH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3023
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF86529
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License Number State | CA
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