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General NPI Number Information
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NPI Number | 1922621523
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Entity Type | Individual
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Provider Name | TARISHA WRIGHT CPHT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 5323 E COURT ST N
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City | BURTON
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State | MI
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Zip | 48509-1539
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Country | US
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Telephone | 810-744-2984
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Fax |
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Provider Business Mailing Address
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Address Line | G3070 N CENTER RD
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City | FLINT
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State | MI
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Zip | 48506-2665
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5303000672
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License Number State | MI
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