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General NPI Number Information
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NPI Number | 1487489498
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Entity Type | Organization
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Legal Business Name | WILKERSON & COMPANY LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 774 EAYRESTOWN RD STE 202
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City | LUMBERTON
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State | NJ
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Zip | 08048-3100
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Country | US
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Telephone | 609-850-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 774 EAYRESTOWN RD
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City | LUMBERTON
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State | NJ
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Zip | 08048-3100
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Country | US
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Telephone | 201-706-1511
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAMONA WILKERSON-HOLTON
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Credential | NP
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Telephone | 201-706-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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