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General NPI Number Information
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NPI Number | 1528096310
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Entity Type | Individual
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Provider Name | SANDRA K WRIGHT FNP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1666 HIGHWAY 160 W
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City | FORT MILL
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State | SC
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Zip | 29708-8024
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Country | US
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Telephone | 803-548-2247
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Fax | 803-548-2286
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Provider Business Mailing Address
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Address Line | 1666 HIGHWAY 160 W
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City | FORT MILL
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State | SC
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Zip | 29708-8024
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Country | US
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Telephone | 803-548-2247
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Fax | 803-548-2286
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 510
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License Number State | SC
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