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General NPI Number Information
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NPI Number | 1962538447
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Entity Type | Organization
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Legal Business Name | WILSON MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 11180 FINCH AVENUE
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City | MIDDLESEX
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State | NC
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Zip | 27557
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Country | US
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Telephone | 252-235-2298
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Fax | 252-399-8829
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Provider Business Mailing Address
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Address Line | 11180 FINCH AVENUE P.O. BOX 879
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City | MIDDLESEX
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State | NC
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Zip | 27557-0879
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Country | US
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Telephone | 252-235-2298
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Fax | 252-399-8829
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | RICHARD E. HUDSON
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Credential |
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Telephone | 252-399-8139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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