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General NPI Number Information
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NPI Number | 1477503704
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Entity Type | Individual
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Provider Name | JOSEPH DAVID WRIGHT PT
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 510 COUNTY ROAD 466 SUITE 201 Q
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-460-9033
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Fax | 352-414-5515
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Provider Business Mailing Address
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Address Line | 9625 WATER FERN CIR
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City | CLERMONT
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State | FL
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Zip | 34711-6651
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Country | US
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Telephone | 352-460-9033
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Fax | 352-414-5515
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT14892
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License Number State | FL
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