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General NPI Number Information
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NPI Number | 1558533380
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Entity Type | Organization
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Legal Business Name | A CLAIRE WILSON DDS PLLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 2415 PENNY RD SUITE 201
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City | HIGH POINT
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State | NC
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Zip | 27265-8121
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Country | US
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Telephone | 336-882-5498
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Fax | 336-882-8328
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Provider Business Mailing Address
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Address Line | 2415 PENNY RD SUITE 201
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City | HIGH POINT
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State | NC
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Zip | 27265-8121
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Country | US
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Telephone | 336-882-5498
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Fax | 336-882-8328
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AMELIA CLAIRE WILSON
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Credential | DDS
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Telephone | 336-882-5498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5683
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License Number State | NC
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