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General NPI Number Information
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NPI Number | 1255517066
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Entity Type | Individual
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Provider Name | JOSHUA R WILKINSON MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 5901 RILEY PARK DRIVE SUITE B
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City | FORT SMITH
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State | AR
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Zip | 72916
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Country | US
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Telephone | 479-763-3050
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Fax | 479-763-3281
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Provider Business Mailing Address
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Address Line | 5901 RILEY PARK DRIVE SUITE B
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City | FORT SMITH
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State | AR
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Zip | 72916-4278
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Country | US
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Telephone | 479-763-3050
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Fax | 479-763-3281
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | E6232
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License Number State | AR
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