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General NPI Number Information
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NPI Number | 1780838185
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Entity Type | Organization
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Legal Business Name | WILKINSONS AND ASSOCIATES INC.
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 189 E US HIGHWAY 40 UNIT C
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City | TROY
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State | IL
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Zip | 62294-2262
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Country | US
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Telephone | 618-580-8969
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Fax |
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Provider Business Mailing Address
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Address Line | 8812 ROSEWOOD HILLS DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-7038
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Country | US
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Telephone | 618-580-8969
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALVIN D WILKINSON
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Credential | ED.D.
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Telephone | 618-580-8969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01773
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180-000308
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License Number State | IL
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