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General NPI Number Information
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NPI Number | 1356637409
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Entity Type | Individual
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Provider Name | TAYLOR G WRIGHT D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 6405 S 3000 E STE 300
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-6977
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Country | US
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Telephone | 801-266-3113
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Fax | 801-266-5633
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Provider Business Mailing Address
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Address Line | 6405 S 3000 E STE 300
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-6977
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Country | US
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Telephone | 801-266-3113
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Fax | 801-266-5633
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | P-249
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2057
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 8369993-0501
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License Number State | UT
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