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General NPI Number Information
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NPI Number | 1508318957
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Entity Type | Individual
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Provider Name | NIARA WRIGHT DPM
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 642 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3603
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Country | US
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Telephone | 347-557-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 79 ALEXANDER ST APT 1305
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City | YONKERS
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State | NY
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Zip | 10701-2988
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Country | US
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Telephone | 347-557-7233
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 0069971
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License Number State | NY
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