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General NPI Number Information
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NPI Number | 1053428896
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Entity Type | Individual
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Provider Name | STEVEN G. WHEELER LMSW, LPC
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/30/2011
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Provider Practice Location Address
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Address Line | 2721 SUNNYSIDE DR SUITE B
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City | CADILLAC
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State | MI
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Zip | 49601-8748
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Country | US
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Telephone | 231-468-2550
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Fax | 231-468-2596
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Provider Business Mailing Address
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Address Line | PO BOX 124
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City | HERSEY
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State | MI
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Zip | 49639-0124
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Country | US
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Telephone | 231-679-4372
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Fax | 231-468-2596
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401002628
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801060067
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License Number State | MI
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