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General NPI Number Information
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NPI Number | 1457447385
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Entity Type | Organization
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Legal Business Name | D & D WILCOX
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 N 5TH ST
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City | COALINGA
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State | CA
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Zip | 93210-1702
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Country | US
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Telephone | 559-935-2134
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Fax | 559-935-8948
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Provider Business Mailing Address
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Address Line | 222 N 5TH ST
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City | COALINGA
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State | CA
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Zip | 93210-1702
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Country | US
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Telephone | 559-935-2134
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Fax | 559-935-8948
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DOUGLAS K WILCOX
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Credential | PHARM.D.
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Telephone | 559-935-2134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY45740
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License Number State | CA
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