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General NPI Number Information
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NPI Number | 1285730002
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Entity Type | Individual
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Provider Name | DEBORAH J WILSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1702 S 4TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18103-4924
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Country | US
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Telephone | 610-791-2755
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Fax |
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Provider Business Mailing Address
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Address Line | 2442 BRODHEAD RD
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City | BETHLEHEM
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State | PA
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Zip | 18020-8910
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Country | US
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Telephone | 610-758-8011
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Fax | 610-758-8013
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS009098L
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License Number State | PA
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