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General NPI Number Information
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NPI Number | 1760794952
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Entity Type | Individual
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Provider Name | KIM WRIGHT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 07/05/2010
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Provider Practice Location Address
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Address Line | 1475 N GRANITE REEF RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3919
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Country | US
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Telephone | 480-990-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 8 E MANZANITA DR
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City | PHOENIX
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State | AZ
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Zip | 85020-3636
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Country | US
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Telephone | 602-809-3191
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7015
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License Number State | AZ
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