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General NPI Number Information
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NPI Number | 1427647965
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Entity Type | Individual
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Provider Name | KAITLYN ELYSE WHEELER
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 2995 CURRY RD EXT
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City | SCHENECTADY
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State | NY
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Zip | 12303-2801
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Country | US
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Telephone | 518-836-2233
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Fax | 518-836-2201
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Provider Business Mailing Address
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Address Line | 3 JENNINGS PL
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City | COHOES
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State | NY
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Zip | 12047-1113
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Country | US
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Telephone | 518-339-4567
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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