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General NPI Number Information
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NPI Number | 1376876565
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Entity Type | Individual
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Provider Name | LAKIEA WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 09/07/2009
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 33 COHASSET AVE. UNIT #2 ALLERGY & ASTHMA ASSOCIATES - SOUTH
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3270
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Country | US
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Telephone | 508-759-7555
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Fax | 508-759-7355
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Provider Business Mailing Address
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Address Line | 33 COHASSET AVE. UNIT #2 ALLERGY & ASTHMA ASSOCIATES - SOUTH
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3270
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Country | US
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Telephone | 508-759-7555
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Fax | 508-759-7355
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 251373
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00000000
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License Number State | IL
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