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General NPI Number Information
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NPI Number | 1124017926
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Entity Type | Individual
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Provider Name | EDWARD ANTHONY WRIGHT MEDICAL DOCTOR
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 1301 BARBARA JORDAN BLVD SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78723-3077
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Country | US
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Telephone | 512-324-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 W 38TH ST SUITE 320
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City | AUSTIN
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State | TX
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Zip | 78731-6400
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Country | US
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Telephone | 512-324-3310
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 23294
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | H6718
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License Number State | TX
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