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General NPI Number Information
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NPI Number | 1770481566
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Entity Type | Individual
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Provider Name | KATHLEEN E WILCOX NREMT-P
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Gender | Female
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 6699 SPRINGFIELD CENTER DR
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1913
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Country | US
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Telephone | 703-323-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 210 VALE VISTA DR
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City | EDINBURG
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State | VA
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Zip | 22824-3642
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | E201201875
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License Number State | VA
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