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NPI 1295945848

NPI 1295945848 : ROBERT L WRIGHT JR. PD : HELENA, AR

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General NPI Number Information
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    NPI Number           |    1295945848
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT L WRIGHT JR. PD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/23/2007
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    Last Update Date     |    09/16/2008
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Provider Practice Location Address
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    Address Line         |    300 PERRY ST 
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    City                 |    HELENA
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    State                |    AR
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    Zip                  |    72342-3325
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    Country              |    US
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    Telephone            |    870-338-6464
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    Fax                  |    870-338-8407
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Provider Business Mailing Address
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    Address Line         |    139 STONEBROOK 
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    City                 |    HELENA
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    State                |    AR
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    Zip                  |    72342
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    Country              |    US
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    Telephone            |    870-338-6464
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    Fax                  |    870-338-8407
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    5340
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    License Number State |    AR
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