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NPI 1760333876

NPI 1760333876 : WRIGHT MEDICAL /PSYCHIATRIC CARE LLC : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1760333876
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    Entity Type          |    Organization 
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    Legal Business Name  |    WRIGHT MEDICAL /PSYCHIATRIC CARE LLC 
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Dates
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    Enumeration Date     |    02/05/2026
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    3624 ENSIGN RD NE STE D 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98506-5074
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    Country              |    US
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    Telephone            |    321-848-2728
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    Fax                  |    360-925-1100
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Provider Business Mailing Address
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    Address Line         |    622 MEADOWWOOD DR SW 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98502-2677
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    Country              |    US
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    Telephone            |    321-848-2728
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    Fax                  |    360-925-1100
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     KATE  TEAGUE 
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    Credential           |    
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    Telephone            |    360-209-4216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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