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NPI 1326153982

NPI 1326153982 : RAMSEY EARL WILSON D.M.D : COLLINS, MS

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General NPI Number Information
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    NPI Number           |    1326153982
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    Entity Type          |    Individual 
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    Provider Name        |    RAMSEY EARL WILSON D.M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2006
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    Last Update Date     |    01/06/2025
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Provider Practice Location Address
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    Address Line         |    802 SOUTH FIR AVE 
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    City                 |    COLLINS
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    State                |    MS
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    Zip                  |    39428
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    Country              |    US
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    Telephone            |    601-765-4405
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    Fax                  |    601-765-0536
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Provider Business Mailing Address
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    Address Line         |    PO BOX 729 
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    City                 |    COLLINS
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    State                |    MS
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    Zip                  |    39428-0729
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    Country              |    US
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    Telephone            |    601-765-4405
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    Fax                  |    601-765-0536
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2305-86
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    License Number State |    MS
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