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General NPI Number Information
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NPI Number | 1962071159
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Entity Type | Individual
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Provider Name | TIMOTHY L WILKENING MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2601 HOLME AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-2007
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Country | US
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Telephone | 215-335-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 451 N EUGENE ST APT 4L
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City | GREENSBORO
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State | NC
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Zip | 27401-2467
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Country | US
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Telephone | 410-693-9122
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA12214100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD485148
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License Number State | PA
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