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General NPI Number Information
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NPI Number | 1104229657
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Entity Type | Individual
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Provider Name | VICKI WILD-MCLEOD NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 8 HOSPITAL CENTER BLVD STE 130
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City | HILTON HEAD
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State | SC
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Zip | 29926-8701
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Country | US
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Telephone | 843-682-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-1092
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN241067
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 31011
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License Number State | SC
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