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General NPI Number Information
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NPI Number | 1215084983
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Entity Type | Organization
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Legal Business Name | ROBERT L. WILKINSON CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 411 ATLAS ST
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City | BREA
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State | CA
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Zip | 92821-3118
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Country | US
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Telephone | 714-672-9690
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Fax | 714-672-9692
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Provider Business Mailing Address
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Address Line | 411 ATLAS ST
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City | BREA
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State | CA
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Zip | 92821-3118
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Country | US
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Telephone | 714-672-9690
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Fax | 714-672-9692
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Authorized Official
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Title or Position | PRES.
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Name | DR. ROBERT L. WILKINSON
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Credential | D.C.
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Telephone | 714-672-9690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC 21168
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License Number State | CA
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