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General NPI Number Information
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NPI Number | 1396693388
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Entity Type | Individual
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Provider Name | CHRISTIAN WHEELER
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Gender | Male
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 2213 PETRUS CIR
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City | OZARK
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State | MO
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Zip | 65721-5739
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Country | US
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Telephone | 417-869-4270
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 S 7TH AVE
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City | OZARK
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State | MO
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Zip | 65721-7399
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Country | US
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Telephone |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2026011405
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License Number State | MO
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