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General NPI Number Information
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NPI Number | 1255874368
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Entity Type | Individual
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Provider Name | JOSHUA HUNTER WILSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 3833 N GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38804-0914
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Country | US
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Telephone | 662-269-0856
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Fax | 662-269-0856
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Provider Business Mailing Address
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Address Line | 411 ERIC CV
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City | OXFORD
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State | MS
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Zip | 38655-5393
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Country | US
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Telephone | 662-832-1609
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Fax | 662-269-0856
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 941
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License Number State | MS
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