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General NPI Number Information
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NPI Number | 1003083957
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Entity Type | Organization
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Legal Business Name | PETER L WICKENS D.O.,P.C.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 14050 E 14 MILE RD
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City | WARREN
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State | MI
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Zip | 48088-5765
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Country | US
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Telephone | 586-293-2088
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Fax | 586-293-5502
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Provider Business Mailing Address
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Address Line | 14050 E 14 MILE RD WARREN
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City | WARREN
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State | MI
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Zip | 48088-5765
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Country | US
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Telephone | 586-293-2088
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Fax | 586-293-5502
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER L WICKENS
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Credential | D.O.
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Telephone | 586-293-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 5101006061
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License Number State | MI
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