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General NPI Number Information
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NPI Number | 1679292775
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Entity Type | Organization
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Legal Business Name | WRIGHT MIND FAMILY PSYCHIATRY
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 9329 MARTIN WAY E
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City | OLYMPIA
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State | WA
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Zip | 98516-5738
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Country | US
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Telephone | 712-209-4958
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Fax | 360-545-7387
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Provider Business Mailing Address
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Address Line | 800 YAUGER WAY SW UNIT L203
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City | OLYMPIA
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State | WA
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Zip | 98502-8348
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Country | US
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Telephone | 712-209-4958
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Fax | 360-545-7387
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ANDREA WRIGHT
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Credential | PMHNP
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Telephone | 712-209-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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