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General NPI Number Information
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NPI Number | 1750826095
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Entity Type | Organization
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Legal Business Name | C H WILKINSON PHYSICIAN NETWORK
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 5920 SARATOGA BLVD SUITE 320A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4103
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Country | US
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Telephone | 361-986-4660
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Fax | 361-986-4665
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Provider Business Mailing Address
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Address Line | 919 HIDDEN RDG
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City | IRVING
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State | TX
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Zip | 75038-3813
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Country | US
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Telephone | 469-282-2711
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Fax | 469-282-0996
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Authorized Official
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Title or Position | CFO
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Name | ROBERT KARL
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Credential |
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Telephone | 469-282-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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