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General NPI Number Information
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NPI Number | 1922062777
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Entity Type | Organization
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Legal Business Name | WILSON CARDIOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 2605 FOREST HILLS RD SW
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City | WILSON
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State | NC
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Zip | 27893-4448
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Country | US
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Telephone | 252-243-7161
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Fax | 252-243-7242
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Provider Business Mailing Address
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Address Line | PO BOX 3209
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City | WILSON
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State | NC
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Zip | 27895-3209
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Country | US
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Telephone | 252-243-7161
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Fax | 252-243-7242
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | DR. PAUL PEREZ-NAVARRO
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Credential | MD
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Telephone | 252-243-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 207RC0000X
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License Number State | NC
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