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General NPI Number Information
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NPI Number | 1275163347
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Entity Type | Individual
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Provider Name | DAVID BENJAMIN WRIGHT MS, CPO, LPO
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Gender | Male
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1106 COLLEGE ST STE D
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City | BASTROP
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State | TX
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Zip | 78602-3948
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Country | US
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Telephone | 512-593-6635
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Fax | 512-265-9020
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Provider Business Mailing Address
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Address Line | 18108 BEROL DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4928
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Country | US
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Telephone | 541-704-5363
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 2256
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 2256
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License Number State | TX
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