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General NPI Number Information
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NPI Number | 1558355669
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Entity Type | Individual
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Provider Name | ROBERT J WRIGHT M.A .M.F.T
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Gender | Male
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40680 CALIFORNIA OAKS RD
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City | MURRIETA
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State | CA
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Zip | 92562-5755
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Country | US
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Telephone | 951-693-4228
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Fax | 760-723-8656
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Provider Business Mailing Address
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Address Line | PO BOX 2304
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City | FALLBROOK
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State | CA
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Zip | 92088-2304
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Country | US
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Telephone | 760-723-3256
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Fax | 760-723-8656
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT31742
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License Number State | CA
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