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General NPI Number Information
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NPI Number | 1346809472
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Entity Type | Individual
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Provider Name | ANDREW THOMAS PIERRE WHEELER MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 18321 CLARK ST
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City | TARZANA
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State | CA
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Zip | 91356-3501
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Country | US
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Telephone | 612-816-9817
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Fax |
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Provider Business Mailing Address
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Address Line | 20828 TIARA ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-5219
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Country | US
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Telephone | 612-816-9817
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A188769
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License Number State | CA
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