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General NPI Number Information
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NPI Number | 1427134345
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Entity Type | Individual
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Provider Name | CHARLES WILKINS MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1053 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1007
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Country | US
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Telephone | 330-480-2516
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Fax | 330-480-5352
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Provider Business Mailing Address
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Address Line | 1053 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1007
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Country | US
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Telephone | 330-480-2516
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Fax | 330-480-5352
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35039898
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35.039898
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License Number State | OH
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