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General NPI Number Information
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NPI Number | 1265876213
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Entity Type | Individual
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Provider Name | JOHN LEN WHEAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 302 VINE ST
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City | CLINTON
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State | IN
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Zip | 47842
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Country | US
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Telephone | 765-592-3381
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Fax | 765-820-1105
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Provider Business Mailing Address
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Address Line | PO BOX 545
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City | CLINTON
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State | IN
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Zip | 47842-0545
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Country | US
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Telephone | 765-832-6977
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 01078016A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 01078016A
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License Number State | IN
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Taxonomy #3
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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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