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General NPI Number Information
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NPI Number | 1972060986
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Entity Type | Individual
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Provider Name | BRIAN ALLAN WRIGHT L.AC.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 900 RITCHIE HWY STE 203
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4195
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Country | US
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Telephone | 434-826-1733
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | NELLYSFORD
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State | VA
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Zip | 22958-0148
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Country | US
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Telephone | 434-826-1733
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02610
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License Number State | MD
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