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General NPI Number Information
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NPI Number | 1194296079
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Entity Type | Individual
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Provider Name | BETH MARIE WRIGHT AGACNP-BC DNP BSN RN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 333 PINE RIDGE BLVD STE 317
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City | WAUSAU
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State | WI
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Zip | 54401
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Country | US
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Telephone | 715-847-2837
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Fax | 715-847-2614
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Provider Business Mailing Address
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Address Line | 151484 STATE PARK RD
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City | WAUSAU
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State | WI
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Zip | 54401-6676
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Country | US
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Telephone | 608-334-7307
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 8935-33
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License Number State | WI
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