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General NPI Number Information
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NPI Number | 1659546570
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Entity Type | Individual
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Provider Name | SHARON ANN WILCOX LMSW, RN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 1100 NORTH COLLEGE VETERANS HEALTH CARE SYSTEM OF THE OZARKS
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-582-7100
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Fax | 479-251-1036
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Provider Business Mailing Address
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Address Line | 1100 NO. COLLEGE VETERANS HEALTH CARE SYSTEM OF THE OZARKS
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-582-7100
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Fax | 479-251-1036
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2090-M
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License Number State | AR
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