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General NPI Number Information
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NPI Number | 1922050392
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Entity Type | Individual
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Provider Name | NATASHA WRIGHT P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1331 WILSHIRE BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90403-5410
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Country | US
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Telephone | 310-566-1367
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Fax | 310-566-1300
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Provider Business Mailing Address
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Address Line | 3505 CADILLAC AVE STE N2
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City | COSTA MESA
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State | CA
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Zip | 92626-1433
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Country | US
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Telephone | 714-979-5680
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Fax | 714-668-9341
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 14048
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License Number State | CA
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