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General NPI Number Information
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NPI Number | 1932624707
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Entity Type | Individual
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Provider Name | THOMAS SLONE WILKINSON PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/13/2017
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 10506A MONTGOMERY RD
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-5120
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Fax | 513-246-4047
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Provider Business Mailing Address
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Address Line | 10506A MONTGOMERY RD
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-5120
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Fax | 513-246-4047
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC715
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2378
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.005261RX
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.005261RX
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License Number State | OH
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