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NPI 1386640613

NPI 1386640613 : JAMES ALLEN WRIGHT PA-C : LANCASTER, OH

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General NPI Number Information
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    NPI Number           |    1386640613
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES ALLEN WRIGHT PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    04/12/2022
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Provider Practice Location Address
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    Address Line         |    2036 SCHORRWAY DR NW 
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    City                 |    LANCASTER
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    State                |    OH
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    Zip                  |    43130-8410
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    Country              |    US
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    Telephone            |    740-870-4030
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    Fax                  |    740-870-4031
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Provider Business Mailing Address
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    Address Line         |    2036 SCHORRWAY DR NW 
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    City                 |    LANCASTER
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    State                |    OH
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    Zip                  |    43130-8410
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    Country              |    US
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    Telephone            |    740-870-4030
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    Fax                  |    740-807-4031
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    50.002238RX
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    License Number State |    OH
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