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General NPI Number Information
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NPI Number | 1760500482
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Entity Type | Individual
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Provider Name | CORRY L. WILCOX M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1303 RIVER VALLEY BLVD STE B
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City | LANCASTER
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State | OH
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Zip | 43130-1669
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Country | US
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Telephone | 740-654-3571
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Fax | 740-689-3277
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Provider Business Mailing Address
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Address Line | 1303 RIVER VALLEY BLVD STE B
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City | LANCASTER
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State | OH
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Zip | 43130-1669
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Country | US
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Telephone | 740-654-3571
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Fax | 740-689-3277
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A-01182
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License Number State | OH
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