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General NPI Number Information
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NPI Number | 1144839515
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Entity Type | Organization
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Legal Business Name | WRIGHT PODIATRY PLLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 642 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3603
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Country | US
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Telephone | 347-557-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 79 ALEXANDER ST APT 1305
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City | YONKERS
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State | NY
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Zip | 10701-2988
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Country | US
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Telephone | 347-557-7233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NIARA WRIGHT
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Credential | DPM
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Telephone | 347-557-7233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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