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General NPI Number Information
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NPI Number | 1972806909
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Entity Type | Individual
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Provider Name | ANDREW JEFFREY WILHELM DPT, D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 7329 SENECA RD N
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City | HORNELL
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State | NY
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Zip | 14843-9684
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Country | US
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Telephone | 607-385-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 7329 SENECA RD N
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City | HORNELL
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State | NY
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Zip | 14843-9684
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Country | US
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Telephone | 607-385-3740
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OT016519
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 23513
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 23513
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 308823
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 308823-01
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License Number State | NY
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