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General NPI Number Information
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NPI Number | 1922711936
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Entity Type | Individual
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Provider Name | ALISHA BRIANNA WILKINS NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1945 CEI DR
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City | BLUE ASH
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State | OH
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Zip | 45242-5664
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Country | US
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Telephone | 513-654-2539
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Fax |
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Provider Business Mailing Address
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Address Line | 8919 EAGLEVIEW DR APT 6
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City | WEST CHESTER
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State | OH
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Zip | 45069-6710
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Country | US
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Telephone | 513-310-9759
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0032935
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 451712
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License Number State | OH
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