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General NPI Number Information
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NPI Number | 1366318388
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Entity Type | Individual
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Provider Name | LELAND WILCOX
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Gender | Male
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1 N MAIN ST
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5677
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Country | US
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Telephone | 301-831-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 10802 BREWER HOUSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-3417
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Country | US
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Telephone | 562-266-4877
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30496
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License Number State | MD
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