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General NPI Number Information
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NPI Number | 1174765895
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Entity Type | Individual
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Provider Name | ELIZABETH DUPREE WILSON PAC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 520 N MAIN ST
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City | LINDALE
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State | TX
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Zip | 75771-6424
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Country | US
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Telephone | 903-534-6200
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Fax | 903-939-0755
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Provider Business Mailing Address
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Address Line | 5310 HARVEST HILL RD STE 290
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City | DALLAS
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State | TX
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Zip | 75230-5826
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Country | US
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Telephone | 214-420-0672
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Fax | 214-736-0512
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA06074
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License Number State | TX
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