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General NPI Number Information
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NPI Number | 1689144099
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL WRIGHT, LCSW
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 10/24/2022
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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 | 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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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL T WRIGHT
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Credential | LCSW, PHD
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Telephone | 207-387-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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