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General NPI Number Information
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NPI Number | 1659862142
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Entity Type | Individual
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Provider Name | MICHAEL T WRIGHT LCSW, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 9 FIELD ST STE 108
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City | BELFAST
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State | ME
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Zip | 04915-6661
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Country | US
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Telephone | 207-387-0691
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Fax |
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Provider Business Mailing Address
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Address Line | 69 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6000
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1021545
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019613
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC19139
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License Number State | ME
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