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General NPI Number Information
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NPI Number | 1265412357
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Entity Type | Individual
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Provider Name | CHAMINIE WHEELER D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 15530 KUTZTOWN RD STE 1
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City | KUTZTOWN
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State | PA
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Zip | 19530-9758
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Country | US
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Telephone | 484-646-3900
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Fax | 484-646-3901
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Provider Business Mailing Address
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Address Line | 15530 KUTZTOWN RD
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City | KUTZTOWN
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State | PA
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Zip | 19530-9703
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Country | US
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Telephone | 484-646-3900
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Fax | 484-646-3900
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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 | OS014483
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 3610
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3610
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License Number State | IA
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