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General NPI Number Information
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NPI Number | 1639165137
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Entity Type | Individual
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Provider Name | BEVERLY FAYE WRIGHT CFNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 26079 LEE HWY
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City | ABINGDON
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State | VA
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Zip | 24211-7501
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Country | US
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Telephone | 276-739-2283
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Fax | 276-619-2495
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Provider Business Mailing Address
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Address Line | 26079 LEE HWY
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City | ABINGDON
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State | VA
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Zip | 24211-7501
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Country | US
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Telephone | 276-739-2283
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Fax | 276-619-2495
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0024073859
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License Number State | VA
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