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General NPI Number Information
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NPI Number | 1396748505
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Entity Type | Individual
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Provider Name | CHRIS E WILKINSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 3500 CENTRAL AVE
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City | KEARNEY
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State | NE
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Zip | 68847-2944
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Country | US
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Telephone | 308-865-2512
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Fax | 308-865-2506
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Provider Business Mailing Address
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Address Line | PO BOX 2168
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City | KEARNEY
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State | NE
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Zip | 68848-2168
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Country | US
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Telephone | 308-865-2512
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Fax | 308-865-2506
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 16560
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 04-24466
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License Number State | KS
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