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NPI 1538433115

NPI 1538433115 : HUGH WILKINSON,MD PA : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1538433115
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUGH WILKINSON,MD PA 
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Dates
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    Enumeration Date     |    02/29/2012
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    Last Update Date     |    02/29/2012
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Provider Practice Location Address
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    Address Line         |    2828 S SEACREST BLVD SUITE 208
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33435-7944
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    Country              |    US
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    Telephone            |    561-740-7970
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    Fax                  |    561-740-7980
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Provider Business Mailing Address
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    Address Line         |    10416 SAINT GERMAIN CT 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33449-8058
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    Country              |    US
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    Telephone            |    561-516-0512
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. HUGH A WILKINSON 
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    Credential           |    MD
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    Telephone            |    561-740-7970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    ME94184
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    License Number State |    FL
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