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General NPI Number Information
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NPI Number | 1942389994
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Entity Type | Individual
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Provider Name | KELLY C WRIGHT N.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 19330 VASHON HWY SW
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City | VASHON
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State | WA
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Zip | 98070-5212
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Country | US
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Telephone | 206-463-4778
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Fax | 206-463-4791
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Provider Business Mailing Address
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Address Line | 19330 VASHON HWY SW
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City | VASHON
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State | WA
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Zip | 98070-5215
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Country | US
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Telephone | 206-463-4778
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Fax | 206-463-4791
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT874
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License Number State | WA
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