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General NPI Number Information
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NPI Number | 1265855837
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Entity Type | Individual
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Provider Name | REBECCA WILCOX PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2014
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Last Update Date | 03/12/2016
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Provider Practice Location Address
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Address Line | 2007 PALM BEACH LAKES BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6501
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Country | US
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Telephone | 561-420-8555
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Fax | 888-442-6078
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Provider Business Mailing Address
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Address Line | 525 E 68TH STREET STARR PAVILION 651
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-746-2868
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 018606-1
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License Number State | NY
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