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General NPI Number Information
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NPI Number | 1942846944
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Entity Type | Individual
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Provider Name | COLENTHIA WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 112 COLISEUM BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36109-2708
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Country | US
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Telephone | 334-279-7810
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Fax | 334-279-7830
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Provider Business Mailing Address
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Address Line | PO BOX 3223
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City | MONTGOMERY
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State | AL
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Zip | 36109-0223
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Country | US
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Telephone | 334-279-7830
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Fax | 334-277-8862
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2945
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License Number State | AL
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