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General NPI Number Information
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NPI Number | 1184478166
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Entity Type | Individual
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Provider Name | DAMIAN MICHAEL WRIGHT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 85 METRO PARK
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City | ROCHESTER
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State | NY
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Zip | 14623-2607
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Country | US
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Telephone | 800-270-4904
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RAYMOND ST
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City | ROCHESTER
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State | NY
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Zip | 14620-2037
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Country | US
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Telephone | 585-645-3956
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040.0134726PROV
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 051657
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License Number State | NY
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