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General NPI Number Information
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NPI Number | 1760696645
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Entity Type | Organization
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Legal Business Name | MILTON WRIGHT, D.O., PLC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13825 N 7TH ST STE A
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City | PHOENIX
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State | AZ
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Zip | 85022-4342
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Country | US
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Telephone | 623-444-7974
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Fax |
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Provider Business Mailing Address
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Address Line | 13825 N 7TH ST STE A
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City | PHOENIX
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State | AZ
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Zip | 85022-4342
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Country | US
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Telephone | 623-444-7974
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Fax | 602-938-5135
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Authorized Official
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Title or Position | OWNER
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Name | DR. MILTON JACOB WRIGHT
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Credential | D.O.
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Telephone | 623-444-7972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4166
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License Number State | AZ
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