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NPI 1407839574

NPI 1407839574 : JAMES D WRIGHT LP : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1407839574
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES D WRIGHT LP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/22/2005
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    Last Update Date     |    09/23/2024
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Provider Practice Location Address
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    Address Line         |    8617 E LIMERICK LN 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-2420
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    Country              |    US
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    Telephone            |    316-209-9273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8617 E LIMERICK LN 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-2420
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    Country              |    US
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    Telephone            |    316-209-9273
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    Fax                  |    
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    1147
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    1147
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    License Number State |    KS
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