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General NPI Number Information
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NPI Number | 1366626889
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Entity Type | Organization
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Legal Business Name | LORAH L WRIGHT DO PLLC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 945 E 8TH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2786
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Country | US
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Telephone | 231-935-0695
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Fax | 231-935-0698
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Provider Business Mailing Address
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Address Line | 945 E 8TH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2786
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Country | US
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Telephone | 231-935-0695
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Fax | 231-935-0698
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. LORAH L WRIGHT
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Credential | DO
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Telephone | 231-935-0695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 51101011162
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License Number State | MI
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