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General NPI Number Information
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NPI Number | 1922523307
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Entity Type | Individual
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Provider Name | DANIELLE WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 1735 ENTERPRISE DR STE 105A
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City | FAIRFIELD
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State | CA
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Zip | 94533-6822
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Country | US
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Telephone | 707-355-4059
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Fax |
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Provider Business Mailing Address
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Address Line | 181 CARLTON AVE
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City | VACAVILLE
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State | CA
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Zip | 95687-6447
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Country | US
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Telephone | 707-290-7797
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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