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General NPI Number Information
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NPI Number | 1386753713
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Entity Type | Individual
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Provider Name | JOHN RIVERS WILSON APRN
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 2495 SHREVEPORT HWY VAMC - ALEXANDRIA
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City | PINEVILLE
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State | LA
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Zip | 71360-4044
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Country | US
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Telephone | 318-473-0010
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Fax | 318-483-5132
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Provider Business Mailing Address
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Address Line | PO BOX 12761
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City | ALEXANDRIA
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State | LA
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Zip | 71315-4044
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Country | US
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Telephone | 318-473-0010
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP03906
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License Number State | LA
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