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General NPI Number Information
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NPI Number | 1144525296
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Entity Type | Organization
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Legal Business Name | DRS WILCOX AND WILCOX,P.L.L.C.
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 7 PONIT VIEW TERRACE
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City | WHEELING
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State | WV
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Zip | 26003
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Country | US
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Telephone | 304-243-0740
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Fax | 304-243-0740
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Provider Business Mailing Address
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Address Line | 1311 MTDECHANTAL ROAD
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City | WHEELING
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State | WV
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Zip | 26003
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Country | US
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Telephone | 304-243-0740
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Fax | 304-243-0740
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Authorized Official
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Title or Position | OWNER
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Name | DR. WARREN CRAIG WILCOX JR.
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Credential | DDS
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Telephone | 304-243-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2166
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License Number State | WV
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