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NPI 1114908670

NPI 1114908670 : ROBERT ELDON WRIGHT MD : GREENWOOD VILLAGE, CO

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General NPI Number Information
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    NPI Number           |    1114908670
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT ELDON WRIGHT MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/10/2005
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    Last Update Date     |    04/25/2016
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Provider Practice Location Address
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    Address Line         |    7447 E BERRY AVE STE 150
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    City                 |    GREENWOOD VILLAGE
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    State                |    CO
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    Zip                  |    80111-2146
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    Country              |    US
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    Telephone            |    303-689-2300
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    Fax                  |    303-689-2302
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Provider Business Mailing Address
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    Address Line         |    7447 E BERRY AVE STE 150
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    City                 |    GREENWOOD VILLAGE
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    State                |    CO
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    Zip                  |    80111-2142
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    Country              |    US
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    Telephone            |    303-689-2300
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    31074
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    License Number State |    CO
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