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General NPI Number Information
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NPI Number | 1447880414
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Entity Type | Individual
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Provider Name | MICHAEL LEE WILCOX PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 01/18/2020
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER BLDG 3767 PATTERSON ROAD
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City | LANDSTUHL
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State | RHEINLAND-PFALZ
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Zip | 66849
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Country | DE
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Telephone | 314-590-5222
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 1556
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City | APO
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State | AE
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Zip | 09180-0016
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.299049
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License Number State | IL
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