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General NPI Number Information
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NPI Number | 1689275877
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Entity Type | Individual
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Provider Name | STACI WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1355 SANDHILL RD
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City | OREM
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State | UT
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Zip | 84058-7307
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Country | US
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Telephone | 801-221-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1386 N KANIUK CT
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City | LEHI
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State | UT
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Zip | 84043-3212
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Country | US
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Telephone | 435-864-7420
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7007477-1701
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License Number State | UT
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