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General NPI Number Information
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NPI Number | 1093961781
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Entity Type | Individual
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Provider Name | JENNIFER WHEAT LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 7526 E 82ND ST SUITE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1461
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Country | US
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Telephone | 317-585-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 2245 ELIZAVILLE RD
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City | LEBANON
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State | IN
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Zip | 46052-1273
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Country | US
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Telephone | 765-482-7639
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001634A
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License Number State | IN
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