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General NPI Number Information
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NPI Number | 1831062975
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Entity Type | Individual
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Provider Name | LYNN ANNE WILKERSON AUD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2006 S GOLIAD ST STE 228
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City | ROCKWALL
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State | TX
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Zip | 75087-4800
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Country | US
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Telephone | 806-702-8208
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Fax | 806-785-4327
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Provider Business Mailing Address
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Address Line | 5303 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79414-1817
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Country | US
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Telephone | 806-702-8208
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Fax | 806-785-4327
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | SAH-2025-0100
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80040
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License Number State | TX
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