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General NPI Number Information
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NPI Number | 1295538023
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Entity Type | Organization
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Legal Business Name | WHEELOCK ADULT HEALTH NP PLLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 373 MARSHVILLE RD
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City | CANAJOHARIE
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State | NY
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Zip | 13317-1331
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Country | US
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Telephone | 518-332-5041
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Fax | 207-910-8413
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Provider Business Mailing Address
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Address Line | 121 W MAIN ST
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City | SAINT JOHNSVILLE
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State | NY
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Zip | 13452-1021
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Country | US
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Telephone | 518-332-5041
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Fax | 207-910-8413
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Authorized Official
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Title or Position | OWNER
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Name | SHERRY WHEELOCK
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Credential | NP
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Telephone | 518-332-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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