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General NPI Number Information
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NPI Number | 1902584568
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Entity Type | Individual
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Provider Name | HALARIA ANDERSON WILSON
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 7833 AUGUSTA PINES DR APT 2403
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City | SPRING
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State | TX
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Zip | 77389-1877
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Country | US
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Telephone | 281-318-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 7833 AUGUSTA PINES DR APT 2403
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City | SPRING
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State | TX
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Zip | 77389-1877
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Country | US
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Telephone | 281-318-9980
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Fax |
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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