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NPI Code Detail

MEDICARE: REBECCA R WRIGHT PA-C

MEDICARE: REBECCA R WRIGHT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA056959PA
2363A00000XPhysician AssistantOA003333PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150127114OTHERPACAPITAL BC

General Provider Information

NPI Number : 1487060588
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R WRIGHT PA-C
Provider Business Mailing Address
First Line : 5615 YORK RD
Second Line :
City : NEW OXFORD
State : PA
Zip : 17350-9553
Country : US
Telephone Number : 717-624-1337
Fax Number : 717-624-1795
Provider Business Practice Location Address
First Line : 5615 YORK RD
Second Line : HANOVER HEALTH CORPORATION
City : NEW OXFORD
State : PA
Zip : 17350-9553
Country : US
Telephone Number : 717-624-1337
Fax Number : 717-624-1795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 02/05/2021

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