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General NPI Number Information
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NPI Number | 1114106853
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Entity Type | Individual
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Provider Name | TIMOTHY WILLIAM WILKINS M.A., M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 43563 STATE HIGHWAY 299 E
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City | FALL RIVER MILLS
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State | CA
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Zip | 96028-9787
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Country | US
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Telephone | 530-336-6535
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Fax | 530-335-5166
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Provider Business Mailing Address
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Address Line | 3635 SUNGLOW DR
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City | REDDING
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State | CA
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Zip | 96001-6144
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Country | US
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Telephone | 847-275-5718
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A102151
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A102151
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License Number State | CA
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