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NPI 1245237767

NPI 1245237767 : PATRICIA ANN WILKINSON PHARM.D. MS BCPP : TITUSVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1245237767
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA ANN WILKINSON PHARM.D. MS BCPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1125 TRENTON HARBOURTON RD 
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    City                 |    TITUSVILLE
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    State                |    NJ
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    Zip                  |    08560-1504
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    Country              |    US
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    Telephone            |    609-730-3175
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    55 THOROUGHBRED DR 
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    City                 |    HOLLAND
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    State                |    PA
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    Zip                  |    18966-2571
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    Country              |    US
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    Telephone            |    215-860-4802
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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        |    1835P1300X
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    Taxonomy Name        |    Psychiatric Pharmacist
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    License Number       |    RPO38826R
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    License Number State |    PA
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