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General NPI Number Information
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NPI Number | 1962569137
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Entity Type | Organization
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Legal Business Name | WILHELM AND PARKHURST, DDS,PA
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 5503 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-5813
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Country | US
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Telephone | 910-392-1905
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Fax | 910-392-0462
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Provider Business Mailing Address
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Address Line | 5503 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-5813
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Country | US
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Telephone | 910-392-1905
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Fax | 910-392-0462
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Authorized Official
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Title or Position | DENTIST
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Name | JACK L WILHELM
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Credential | DDS
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Telephone | 910-392-1905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6167
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4968
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License Number State | NC
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