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General NPI Number Information
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NPI Number | 1396535977
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Entity Type | Individual
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Provider Name | STEVEN WILCOX
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Gender | Male
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 215 WASHINGTON ST
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City | WEST WARWICK
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State | RI
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Zip | 02893-5176
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Country | US
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Telephone | 401-580-2416
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SAGAMORE ST
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City | WARWICK
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State | RI
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Zip | 02889-9417
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Country | US
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Telephone | 203-982-1780
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10759
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License Number State | CT
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