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General NPI Number Information
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NPI Number | 1508932609
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Entity Type | Organization
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Legal Business Name | DRS WRIGHT & STELTENPOHL
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 527 W OLD NORTHWEST HWY SUITE 104
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City | BARRINGTON
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State | IL
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Zip | 60010-6815
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Country | US
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Telephone | 847-381-5225
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Fax | 847-381-5354
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Provider Business Mailing Address
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Address Line | 527 W OLD NORTHWEST HWY SUITE 104
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City | BARRINGTON
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State | IL
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Zip | 60010-6815
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Country | US
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Telephone | 847-381-5225
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Fax | 847-381-5354
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Authorized Official
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Title or Position | PARTNER
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Name | DR. KENNETH CHARLES WRIGHT
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Credential | DDS
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Telephone | 847-381-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.017300
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.017473
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License Number State | IL
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