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General NPI Number Information
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NPI Number | 1053311035
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Entity Type | Individual
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Provider Name | STEVEN WILKS MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD ATTN: MEDICAL STAFF OFFICE/ANGELA SPECK
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City | BETHESDA
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State | MD
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Zip | 20814-1422
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Country | US
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Telephone | 301-896-3100
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Fax | 301-897-1378
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Provider Business Mailing Address
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Address Line | PO BOX 791372
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City | BALTIMORE
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State | MD
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Zip | 21279-1372
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Country | US
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Telephone | 301-608-8375
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Fax | 301-608-3979
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 220715
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | D0063195
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | D0063195
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License Number State | MD
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