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General NPI Number Information
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NPI Number | 1265850911
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Entity Type | Individual
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Provider Name | MAGGIE WHEELER M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 600 HENLEY ST STE 119
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City | KNOXVILLE
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State | TN
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Zip | 37996-5355
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Country | US
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Telephone | 865-974-7214
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Fax |
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Provider Business Mailing Address
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Address Line | 8426 WOODBEND TRL
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City | KNOXVILLE
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State | TN
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Zip | 37919-5359
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4846
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License Number State | TN
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