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General NPI Number Information
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NPI Number | 1568655868
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Entity Type | Organization
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Legal Business Name | CHARLES D WILKINS
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 305 W BAKER RD APT 913
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City | BAYTOWN
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State | TX
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Zip | 77521-2362
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Country | US
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Telephone | 832-893-6746
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Fax | 281-225-3854
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Provider Business Mailing Address
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Address Line | 305 W BAKER RD APT 913
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City | BAYTOWN
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State | TX
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Zip | 77521-2362
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Country | US
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Telephone | 281-837-7348
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | MR. CHARLES D WILKINS
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Credential |
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Telephone | 281-837-7348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 32011771
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License Number State | TX
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