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General NPI Number Information
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NPI Number | 1649620402
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Entity Type | Individual
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Provider Name | CHRISTOPHER LAMKIN WILSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 48TH MDG/RAF LAKENHEATH
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City | APO
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State | AE
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Zip | 09461
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Country | US
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Telephone | 314-226-8124
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Fax |
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Provider Business Mailing Address
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Address Line | BOX 980257
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City | RICHMOND
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State | VA
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Zip | 23298-0257
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Country | US
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Telephone | 804-828-9783
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | OS019027
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS019027
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License Number State | PA
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