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General NPI Number Information
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NPI Number | 1831248079
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Entity Type | Individual
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Provider Name | SCOTT DAVID WRIGHT DMD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 113 LIELMANIS AVE BLDG 91020
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 850-884-7881
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Fax | 850-881-3404
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Provider Business Mailing Address
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Address Line | 256 TECUMSEH LN
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City | MARY ESTHER
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State | FL
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Zip | 32569-2225
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Country | US
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Telephone | 813-766-3942
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7545
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License Number State | KY
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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 | 3154
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DN15255
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License Number State | FL
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