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General NPI Number Information
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NPI Number | 1326332545
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Entity Type | Individual
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Provider Name | ROBERT D. WILKINSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 5510 S FORT APACHE RD # 465
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City | LAS VEGAS
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State | NV
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Zip | 89148-7700
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Country | US
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Telephone | 725-867-8144
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 S FORT APACHE RD # 465
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City | LAS VEGAS
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State | NV
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Zip | 89148-7700
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Country | US
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Telephone | 725-867-8144
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DO2278
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | DO2278
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | DO2278
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License Number State | NV
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