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General NPI Number Information
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NPI Number | 1619129657
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Entity Type | Individual
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Provider Name | DANIEL D WRIGHT LSA
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Gender | Male
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 6000 STAMPEDE RUN CIR APT 5312
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City | FT WORTH
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State | TX
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Zip | 76123-6123
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Provider Business Mailing Address
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Address Line | 6000 STAMPEDE RUN CIR APT 5312
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City | FT WORTH
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State | TX
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Zip | 76123-6123
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Country | US
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Telephone | 214-224-2757
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Fax | 214-764-0880
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00817
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License Number State | TX
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