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General NPI Number Information
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NPI Number | 1811266331
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Entity Type | Organization
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Legal Business Name | DEBORAH D WILSON M D P C
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 10250 N 92ND ST STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4517
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Country | US
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Telephone | 480-860-4791
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Fax | 480-860-6314
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Provider Business Mailing Address
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Address Line | 10250 N 92ND ST STE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4517
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Country | US
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Telephone | 480-860-4791
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Fax | 480-860-6314
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MS. DEBORAH D. WILSON
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Credential | M.D.
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Telephone | 480-860-4791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD26168
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License Number State | AZ
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