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General NPI Number Information
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NPI Number | 1861746463
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Entity Type | Organization
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Legal Business Name | WILSON HAND SURGERY, PLLC
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Dates
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Enumeration Date | 11/04/2012
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Last Update Date | 11/04/2012
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST SUITE 2321
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 910-286-5064
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Fax | 832-649-3165
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST SUITE 2321
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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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 | OWNER
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Name | BARBARA JANE WILSON
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Credential | M.D.
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Telephone | 910-286-5064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | P0153
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License Number State | TX
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