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General NPI Number Information
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NPI Number | 1184843658
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Entity Type | Individual
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Provider Name | SCOTT ALLEN WHEELER M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FIRST AVE AND 27TH ST BELLEVUE HOSPITAL 20 SOUTH 17
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-562-3296
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 E UNIVERSITY DR APT 8D
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City | AUBURN
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State | AL
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Zip | 36830-3342
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Country | US
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Telephone | 334-559-8825
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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