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General NPI Number Information
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NPI Number | 1306973102
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Entity Type | Organization
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Legal Business Name | WILKINSON FAMILY CHIROPRACTIC SC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 E SPRING ST
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City | DODGEVILLE
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State | WI
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Zip | 53533-1331
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Country | US
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Telephone | 608-935-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 621 ORCHARD RIDGE RD
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City | DODGEVILLE
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State | WI
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Zip | 53533-2002
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Country | US
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Telephone | 608-930-7838
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TAMMY L. WILKINSON
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Credential | D.C.
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Telephone | 608-935-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3713-012
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License Number State | WI
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