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General NPI Number Information
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NPI Number | 1386510394
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Entity Type | Individual
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Provider Name | BRIANNA OLIVIA WOHEEL
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 37W755 IL ROUTE 38
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City | ST CHARLES
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State | IL
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Zip | 60175-7507
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Country | US
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Telephone | 630-232-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 YORKSHIRE CT
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City | JOLIET
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State | IL
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Zip | 60431-8088
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Country | US
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Telephone | 815-272-5698
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.114407
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License Number State | IL
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