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General NPI Number Information
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NPI Number | 1558759217
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Entity Type | Organization
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Legal Business Name | RITA D. WRIGHT D.M.D PLLC
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 3985 PRINCE WILLIAM PKWY STE 103
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7900
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Country | US
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Telephone | 703-878-7883
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Fax | 703-878-7885
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Provider Business Mailing Address
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Address Line | 3985 PRINCE WILLIAM PKWY STE 103
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7900
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Country | US
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Telephone | 703-878-7883
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Fax | 703-878-7885
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Authorized Official
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Title or Position | PROVIDER
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Name | RITA D. WRIGHT
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Credential | DMD
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Telephone | 703-878-7883
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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 | 0401410360
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License Number State | VA
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