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General NPI Number Information
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NPI Number | 1861427098
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Entity Type | Organization
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Legal Business Name | JAMES A WILCOX PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 120 N NORTHWEST HWY
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City | BARRINGTON
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State | IL
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Zip | 60010-3347
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Country | US
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Telephone | 847-382-6579
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Fax | 847-382-7194
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Provider Business Mailing Address
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Address Line | PO BOX 382
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City | BARRINGTON
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State | IL
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Zip | 60011-0382
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Country | US
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Telephone | 847-382-6579
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Fax | 847-382-7194
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES A WILCOX
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Credential | D.O.
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Telephone | 847-382-6579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036109429
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License Number State | IL
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