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General NPI Number Information
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NPI Number | 1700626207
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Entity Type | Individual
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Provider Name | ALLIE WILK DMD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 200 HIGHPOINT DR STE 220
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City | CHALFONT
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State | PA
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Zip | 18914-3925
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Country | US
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Telephone | 215-822-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HIGHPOINT DR STE 220
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City | CHALFONT
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State | PA
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Zip | 18914-3925
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Country | US
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Telephone | 215-822-1866
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Fax | 215-997-9338
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 064819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29190
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045287
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License Number State | PA
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