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General NPI Number Information
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NPI Number | 1326633322
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Entity Type | Individual
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Provider Name | CLAIRE LYNN WHEATLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 15000 MINNETONKA BLVD
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City | MINNETONKA
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State | MN
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Zip | 55345-1506
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Country | US
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Telephone | 952-935-4037
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Fax | 952-935-9685
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Provider Business Mailing Address
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Address Line | 1680 LENOX DR
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City | WACONIA
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State | MN
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Zip | 55387-4535
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Country | US
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Telephone | 320-583-0939
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11953
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License Number State | MN
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