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General NPI Number Information
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NPI Number | 1811576259
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Entity Type | Individual
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Provider Name | BRIGHAM ALLRED WRIGHT D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | UNIT 3215 BOX MDG
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City | APO
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State | AE
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Zip | 09094-3215
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Country | US
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Telephone | 637-146-2273
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 3215 BOX MDG
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City | APO
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State | AE
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Zip | 09094-3215
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 39270
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License Number State | TX
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