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General NPI Number Information
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NPI Number | 1508097478
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Entity Type | Organization
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Legal Business Name | WILSON MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 1700 TARBORO ST W SUITE 100
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City | WILSON
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State | NC
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Zip | 27893-3481
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Country | US
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Telephone | 252-399-5300
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Fax | 252-399-5301
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Provider Business Mailing Address
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Address Line | 1700 TARBORO ST W SUITE 100
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City | WILSON
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State | NC
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Zip | 27893-3481
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Country | US
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Telephone | 252-399-5300
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Fax | 252-399-5301
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. RICHARD E HUDSON
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Credential |
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Telephone | 252-399-8139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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