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General NPI Number Information
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NPI Number | 1457564981
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Entity Type | Individual
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Provider Name | MALINDA JO WHEELER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3373 CERRITOS AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720
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Country | US
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Telephone | 562-430-6220
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Fax | 562-431-3947
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Provider Business Mailing Address
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Address Line | PO BOX 2273
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City | LOS ALAMITOS
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State | CA
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Zip | 90720
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Country | US
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Telephone | 562-430-6220
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Fax | 562-431-3947
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356472
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8249
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License Number State | CA
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