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General NPI Number Information
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NPI Number | 1104000686
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Entity Type | Organization
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Legal Business Name | DANNY E WHEAT
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 1401 AMBLER AVE SUITE 102
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City | ABILENE
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State | TX
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Zip | 79601-2216
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Country | US
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Telephone | 325-670-3338
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Fax | 325-670-4078
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Provider Business Mailing Address
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Address Line | 1401 AMBLER AVE SUITE 102
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City | ABILENE
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State | TX
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Zip | 79601-2216
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Country | US
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Telephone | 325-670-3338
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Fax | 325-670-4078
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANNY E WHEAT
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Credential | D,P.M
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Telephone | 325-670-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0904
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License Number State | TX
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