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General NPI Number Information
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NPI Number | 1386203966
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Entity Type | Individual
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Provider Name | DANIELLE MORGAN WHEELER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 3130 N COUNTY ROAD 25A
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City | TROY
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State | OH
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Zip | 45373-1337
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Country | US
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Telephone | 937-440-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S MONTGOMERY ST UNIT 2
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City | UNION
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State | OH
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Zip | 45322-3337
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Country | US
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Telephone | 937-608-4572
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.005799RX
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License Number State | OH
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