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General NPI Number Information
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NPI Number | 1609374248
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Entity Type | Individual
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Provider Name | WILLIAM MAURICE WILCOX APRN
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Gender | Male
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 96 DANIEL WEBSTER HWY
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City | BELMONT
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State | NH
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Zip | 03220-3045
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Country | US
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Telephone | 603-267-0656
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Fax | 603-267-0657
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Provider Business Mailing Address
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Address Line | 14 FOSTER ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-1605
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Country | US
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Telephone | 603-236-6464
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 044141-23
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License Number State | NH
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