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General NPI Number Information
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NPI Number | 1366339731
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Entity Type | Individual
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Provider Name | REAGAN WHEELER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1458 NW COLLEGE WAY STE 202
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City | BEND
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State | OR
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Zip | 97703-1480
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Country | US
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Telephone | 541-395-4157
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Fax | 541-203-2202
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Provider Business Mailing Address
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Address Line | 2950 GALIANO ST APT 107
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City | CORAL GABLES
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State | FL
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Zip | 33134-6178
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Country | US
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Telephone | 816-809-3238
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 325459
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License Number State | AZ
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