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General NPI Number Information
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NPI Number | 1184119281
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Entity Type | Organization
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Legal Business Name | WRIGHT FIT PHYSIOTHERAPY
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Dates
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Enumeration Date | 06/30/2018
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Last Update Date | 06/30/2018
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Provider Practice Location Address
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Address Line | 629 NUTWOOD ST
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City | BOWLING GREEN
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State | KY
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Zip | 42103-1619
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Country | US
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Telephone | 270-216-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 629 NUTWOOD ST
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City | BOWLING GREEN
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State | KY
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Zip | 42103-1619
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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 | OWNER/FOUNDER
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Name | DR. WILLIAM JASON WRIGHT
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Credential | DPT
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Telephone | 270-216-1260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 006922
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License Number State | KY
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