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General NPI Number Information
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NPI Number | 1568316461
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Entity Type | Individual
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Provider Name | MISS EBONY SHANAY WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 14 CANTON ST
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-2317
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Country | US
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Telephone | 917-376-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CANTON ST
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-2317
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Country | US
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Telephone | 917-376-2170
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State |
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