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General NPI Number Information
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NPI Number | 1780221291
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Entity Type | Individual
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Provider Name | CHRISTINA WRIGHT ATC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 2700 NW GLENCOE RD
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City | HILLSBORO
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State | OR
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Zip | 97124-1518
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Country | US
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Telephone | 503-844-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 3044 SW 153RD DR
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City | BEAVERTON
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State | OR
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Zip | 97003-5116
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Country | US
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Telephone | 315-877-2888
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT-10173689
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License Number State | OR
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