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General NPI Number Information
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NPI Number | 1205985108
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Entity Type | Organization
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Legal Business Name | S.A.WRIGHT DPM PC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24601 COOLIDGE HWY
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City | OAK PARK
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State | MI
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Zip | 48237-1449
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Country | US
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Telephone | 248-546-9100
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Fax | 248-546-4848
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Provider Business Mailing Address
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Address Line | 22200 W 11 MILE RD 685
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City | SOUTHFIELD
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State | MI
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Zip | 48037-9991
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Country | US
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Telephone | 248-669-6948
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Fax | 248-669-6948
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. SHEILA A WRIGHT
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Credential | DPM
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Telephone | 248-669-6948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901001512
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License Number State | MI
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