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General NPI Number Information
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NPI Number | 1508384819
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Entity Type | Individual
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Provider Name | MR. TROY WRIGHT
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Gender | Male
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 09/07/2017
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Provider Practice Location Address
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Address Line | 1200 N TELEGRAPH RD BLDG 32E
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City | PONTIAC
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State | MI
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Zip | 48341-1032
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Country | US
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Telephone | 248-451-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 15279 DICKERSON DR
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City | FENTON
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State | MI
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Zip | 48430-1601
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 3201013410
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License Number State | MI
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