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General NPI Number Information
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NPI Number | 1235374802
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Entity Type | Individual
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Provider Name | KEVIN LEIGH WRIGHT MS
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Gender | Male
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 5197 SE KING RD
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City | MILWAUKIE
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State | OR
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Zip | 97222-4334
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Country | US
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Telephone | 503-961-2388
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2344
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City | CLACKAMAS
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State | OR
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Zip | 97015-2344
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Country | US
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Telephone | 503-961-2388
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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