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NPI 1184606030

NPI 1184606030 : GREGORY T WRIGHT DC : WEST HARWICH, MA

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General NPI Number Information
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    NPI Number           |    1184606030
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    Entity Type          |    Individual 
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    Provider Name        |    GREGORY T WRIGHT DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2005
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    Last Update Date     |    06/08/2016
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Provider Practice Location Address
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    Address Line         |    120 ROUTE 28 
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    City                 |    WEST HARWICH
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    State                |    MA
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    Zip                  |    02671-1220
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    Country              |    US
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    Telephone            |    508-432-7002
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    Fax                  |    508-217-4679
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Provider Business Mailing Address
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    Address Line         |    PO BOX 686 120 ROUTE 28
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    City                 |    WEST HARWICH
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    State                |    MA
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    Zip                  |    02671-0686
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    Country              |    US
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    Telephone            |    508-432-7002
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    Fax                  |    508-217-4679
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1924
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    License Number State |    MA
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