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General NPI Number Information
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NPI Number | 1225135320
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Entity Type | Individual
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Provider Name | MR. TOM W. WILKINSON
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1010 N PENNSYLVANIA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-6412
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Country | US
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Telephone | 405-236-3838
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Fax | 405-236-5001
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Provider Business Mailing Address
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Address Line | 1010 N PENNSYLVANIA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-6412
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Country | US
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Telephone | 405-236-3838
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Fax | 405-236-5001
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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