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General NPI Number Information
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NPI Number | 1225003395
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Entity Type | Individual
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Provider Name | JAMEY D. WRIGHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 2590 S WINDING TRAIL DR
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City | COLUMBIA
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State | MO
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Zip | 65201-3119
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Country | US
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Telephone | 573-289-1850
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Fax | 573-441-9012
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Provider Business Mailing Address
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Address Line | 1310 OLD HIGHWAY 63 S
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City | COLUMBIA
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State | MO
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Zip | 65201-6078
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Country | US
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Telephone | 877-442-7487
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Fax | 281-358-7814
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD106595
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License Number State | MO
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