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General NPI Number Information
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NPI Number | 1902903438
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Entity Type | Individual
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Provider Name | RANDALL A WRIGHT MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 3537 S INTERSTATE 35 E STE 200
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City | DENTON
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-387-7588
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Fax |
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Provider Business Mailing Address
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Address Line | 3537 S I 35 E STE 200
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City | DENTON
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State | TX
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Zip | 76210-6814
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Country | US
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Telephone | 940-800-2565
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Fax | 833-269-3376
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | J7872
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License Number State | TX
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