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General NPI Number Information
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NPI Number | 1093140196
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Entity Type | Individual
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Provider Name | FRANK WILKINS II M.ED.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2013
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Last Update Date | 09/08/2013
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Provider Practice Location Address
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Address Line | 11311 BUSINESS CENTER DR SUITE C
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-3199
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Country | US
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Telephone | 804-378-6164
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Fax |
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Provider Business Mailing Address
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Address Line | 10012 LAUREL LAKES DR
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3733
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Country | US
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Telephone | 260-355-5543
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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