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General NPI Number Information
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NPI Number | 1578562369
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Entity Type | Individual
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Provider Name | WILLIAM CHRISTIAN WILHELM MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 300 STATE ST SUITE 301
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City | ERIE
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State | PA
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Zip | 16507-1427
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Country | US
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Telephone | 814-877-7907
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Fax | 814-877-6791
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Provider Business Mailing Address
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Address Line | 717 STATE ST SUITE 16
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City | ERIE
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State | PA
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Zip | 16501-1341
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Country | US
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Telephone | 814-480-7100
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Fax | 814-480-7604
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD010269E
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License Number State | PA
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