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General NPI Number Information
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NPI Number | 1134550288
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Entity Type | Organization
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Legal Business Name | CAMYSHA WRIGHT MD PA
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 201 NW 82ND AVE SUITE 404
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City | PLANTATION
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State | FL
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Zip | 33324-1856
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Country | US
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Telephone | 954-368-8519
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Fax | 954-716-6551
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Provider Business Mailing Address
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Address Line | 201 NW 82 AVE SUITE 404
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City | PLANTATION
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State | FL
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Zip | 33324-1856
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Country | US
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Telephone | 954-368-8519
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Fax | 954-716-6551
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAMYSHA WRIGHT
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Credential | MD
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Telephone | 954-368-8519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME104723
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License Number State | FL
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