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General NPI Number Information
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NPI Number | 1255570461
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Entity Type | Organization
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Legal Business Name | REX E WILCOX MD PA
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 12709 TOEPPERWEIN RD SUITE101
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City | LIVE OAK
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State | TX
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Zip | 78233-3259
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Country | US
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Telephone | 210-477-5151
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Fax | 210-477-5152
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Provider Business Mailing Address
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Address Line | 12709 TOEPPERWEIN RD SUITE101
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City | LIVE OAK
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State | TX
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Zip | 78233-3259
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Country | US
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Telephone | 210-477-5151
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Fax | 210-477-5152
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Authorized Official
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Title or Position | CODER
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Name | JUANA F ESCOBEDO
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Credential |
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Telephone | 210-477-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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