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General NPI Number Information
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NPI Number | 1659491868
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Entity Type | Individual
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Provider Name | BILL WRIGHT L.AC.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 251 AUBURN RAVINE RD SUITE #205
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City | AUBURN
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State | CA
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Zip | 95603-3719
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Country | US
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Telephone | 530-886-8927
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Fax | 530-887-8077
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Provider Business Mailing Address
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Address Line | 18568 RIVER RANCH RD
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City | GRASS VALLEY
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State | CA
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Zip | 95949-9557
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Country | US
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Telephone | 530-346-7735
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8232
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License Number State | CA
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