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General NPI Number Information
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NPI Number | 1598930364
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Entity Type | Organization
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Legal Business Name | D.A.W. WILKOWSKI, MD
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 13040 ABERCORN ST SUITE 2
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City | SAVANNAH
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State | GA
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Zip | 31419-1955
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Country | US
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Telephone | 912-897-0409
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Fax | 912-897-3886
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Provider Business Mailing Address
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Address Line | 229 LYMAN HALL
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City | SAVANNAH
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State | GA
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Zip | 31410-1048
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Country | US
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Telephone | 912-897-0409
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Fax | 912-897-3886
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DEBORAH ANN W WILKOWSKI
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Credential | MD
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Telephone | 912-897-0409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 048743
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN135422
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 004917
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 2336
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License Number State | GA
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