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General NPI Number Information
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NPI Number | 1598570558
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Entity Type | Individual
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Provider Name | DANIEL RUSSELL WRIGHT AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 9180 PINECROFT DR STE 500
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City | SHENANDOAH
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State | TX
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Zip | 77380-3883
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Country | US
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Telephone | 713-897-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 920 FROSTWOOD DR STE 2.300
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City | HOUSTON
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State | TX
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Zip | 77024-2314
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 975567
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1190611
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License Number State | TX
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