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General NPI Number Information
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NPI Number | 1437165289
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Entity Type | Organization
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Legal Business Name | THE WRIGHT MEDICAL CLINIC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 2426 SUTHERLAND AVE
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City | KNOXVILLE
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State | TN
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Zip | 37919-2354
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Country | US
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Telephone | 865-523-8300
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Fax | 865-523-8878
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Provider Business Mailing Address
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Address Line | 2426 SUTHERLAND AVE
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City | KNOXVILLE
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State | TN
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Zip | 37919-2354
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Country | US
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Telephone | 865-523-8300
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Fax | 865-523-8878
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MAIMOUNE D WRIGHT
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Credential | FNP
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Telephone | 865-523-8300
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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 | AP6901
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License Number State | TN
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