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General NPI Number Information
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NPI Number | 1629567888
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Entity Type | Organization
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Legal Business Name | DAVID WRIGHT LLC
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 5100 POPLAR AVE STE 2716
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City | MEMPHIS
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State | TN
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Zip | 38137-4000
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Country | US
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Telephone | 901-244-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 6280 MEMPHIS ARLINGTON RD
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City | MEMPHIS
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State | TN
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Zip | 38135-2462
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Country | US
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Telephone | 901-244-4919
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. DAVID B WRIGHT
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Credential | MD
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Telephone | 901-244-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD013359
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License Number State | TN
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