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General NPI Number Information
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NPI Number | 1245006840
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Entity Type | Individual
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Provider Name | CHARLOTTE N WILSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 7227 HAMILTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15208-1814
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Country | US
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Telephone | 412-244-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 VALERA AVE
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City | PITTSBURGH
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State | PA
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Zip | 15210-4521
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Country | US
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Telephone | 412-853-2761
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP028765
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License Number State | PA
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