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General NPI Number Information
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NPI Number | 1679348304
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Entity Type | Individual
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Provider Name | TANYA ANNETTE WRIGHT DSW
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Gender | Female
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 900 HEALTH SERVICES DR
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City | SEAFORD
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State | DE
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Zip | 19973-5786
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Country | US
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Telephone | 302-262-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 28903 HARMONS HILL RD
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City | MILLSBORO
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State | DE
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Zip | 19966-6419
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Country | US
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Telephone | 856-316-5380
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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 |
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License Number State | NJ
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