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General NPI Number Information
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NPI Number | 1427967926
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Entity Type | Individual
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Provider Name | CAROLINE GAIL WILSON DDS
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 310 W MICHIGAN ST APT 424
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3244
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Country | US
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Telephone | 812-699-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W MICHIGAN ST APT 424
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3244
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Country | US
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Telephone | 812-699-1890
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12015092A
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License Number State | IN
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