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General NPI Number Information
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NPI Number | 1154372001
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Entity Type | Individual
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Provider Name | PATRICIA W WHEELER MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 9520 ORMSBY STATION RD. STE 175 PLAZA III HURSTBOURNE GREEN
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City | LOUISVILLE
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State | KY
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Zip | 40223
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Country | US
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Telephone | 502-426-0606
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Fax | 502-426-0604
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Provider Business Mailing Address
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Address Line | 100 EAST LIBERTY SUITE 800
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City | LOUISVILLE
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State | KY
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Zip | 40202-1434
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Country | US
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Telephone | 502-426-0606
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Fax | 502-426-0604
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28850
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License Number State | KY
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