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General NPI Number Information
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NPI Number | 1447222708
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Entity Type | Individual
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Provider Name | FELICITA MICHELE WRIGHT RN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 115 WHITE RD
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1203
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Country | US
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Telephone | 856-723-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 115 WHITE RD
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1203
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Country | US
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Telephone | 856-723-2227
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | RN244648
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 276464
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN244648
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License Number State | GA
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