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General NPI Number Information
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NPI Number | 1396063111
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Entity Type | Individual
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Provider Name | DEBBIE ANN WILKERSON BS
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Gender | Female
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 2915 N CLASSEN BLVD STE 325
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5462
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Country | US
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Telephone | 405-208-4574
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 NW 85TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-1623
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Country | US
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Telephone | 405-921-0203
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 261QMO801X
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License Number State | OK
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