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General NPI Number Information
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NPI Number | 1821261108
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Entity Type | Organization
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Legal Business Name | WRIGHT PAIN MANAGEMENT INC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 13065 W MCDOWELL RAOD SUITE C-101
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City | AVONDALE
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State | AZ
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Zip | 85392-4568
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Country | US
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Telephone | 623-535-5629
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Fax | 623-535-5639
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Provider Business Mailing Address
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Address Line | PO BOX 94568
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City | PHOENIX
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State | AZ
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Zip | 85070-4568
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Country | US
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Telephone | 480-361-7680
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Fax | 480-361-7683
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Authorized Official
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Title or Position | PRESIDENT OF COMPANY
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Name | DR. LEWIS EDWARD WRIGHT JR.
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Credential | M.D.
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Telephone | 623-433-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 34682
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License Number State | AZ
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