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General NPI Number Information
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NPI Number | 1164059622
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Entity Type | Individual
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Provider Name | MARK THORUP WRIGHT DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 8701 WATERTOWN PLANK RD
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City | MILWAUKEE
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-777-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 42ND AND EMILE ST
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City | OMAHA
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State | NE
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Zip | 68198-0001
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Country | US
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Telephone | 402-559-1010
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 8154721
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License Number State | WI
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