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General NPI Number Information
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NPI Number | 1437751146
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Entity Type | Individual
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Provider Name | HUSTON CHASE WHEELER
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Gender | Male
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 1680 S JEFFERSON AVE STE G
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City | COOKEVILLE
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State | TN
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Zip | 38506-2527
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Country | US
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Telephone | 931-288-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WESTGATE CIR APT C
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City | COOKEVILLE
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State | TN
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Zip | 38506-5480
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-142274
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License Number State | TN
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