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General NPI Number Information
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NPI Number | 1134074461
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Entity Type | Individual
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Provider Name | DAMIAN WRIGHT
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Gender | Male
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 622 NICOLE DR APT F
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City | GREENWOOD
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State | IN
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Zip | 46143-2022
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Country | US
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Telephone | 937-638-2653
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Fax |
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Provider Business Mailing Address
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Address Line | 622 NICOLE DR APT F
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City | GREENWOOD
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State | IN
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Zip | 46143-2022
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 37004033A
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License Number State | IN
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