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General NPI Number Information
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NPI Number | 1447831797
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Entity Type | Individual
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Provider Name | KYISHA WRIGHT RN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1043 BUCKHORN BND
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3449
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Country | US
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Telephone | 404-219-8832
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Fax | 470-412-6027
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Provider Business Mailing Address
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Address Line | 1043 BUCKHORN BND
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3449
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Country | US
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Telephone | 404-219-8832
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Fax | 470-412-6027
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN278774
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | RN278774
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN278774
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN278774
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 163WX1500X
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Taxonomy Name | Ostomy Care Registered Nurse
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License Number | RN278774
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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