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General NPI Number Information
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NPI Number | 1952092330
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Entity Type | Individual
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Provider Name | KAREL ANN WILKINSON PT, CLWT-LANA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 124 MCCURDY AVE S STE B
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City | RAINSVILLE
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State | AL
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Zip | 35986-5206
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Country | US
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Telephone | 256-638-2831
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Fax |
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Provider Business Mailing Address
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Address Line | 3677 COUNTY ROAD 166
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City | FORT PAYNE
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State | AL
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Zip | 35967-8030
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Country | US
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Telephone | 703-615-6413
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11042
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License Number State | AL
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