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General NPI Number Information
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NPI Number | 1598088676
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Entity Type | Individual
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Provider Name | R. MICKEY WRIGHT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 3090 S JAMAICA CT SUITE 200
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City | AURORA
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State | CO
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Zip | 80014-2658
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Country | US
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Telephone | 303-726-9373
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Fax | 303-925-1093
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Provider Business Mailing Address
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Address Line | 3090 SO. JAMAICA CT. SUITE 200
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City | AURORA, COLORADO 80014
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State | UNITED STATES OF AMERICA
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Zip | 80014
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Country | UM
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Telephone | 303-726-9373
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Fax | 303-925-1093
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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 | 074
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License Number State | CO
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