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General NPI Number Information
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NPI Number | 1487661161
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Entity Type | Individual
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Provider Name | DARREN THOMAS WHEELER MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 4230 BURNHAM AVENUE ASSOCIATED PATHOLOGISTS, CHARTERED
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 702-733-7866
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Fax | 702-792-1319
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Provider Business Mailing Address
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Address Line | 4230 BURNHAM AVENUE ASSOCIATED PATHOLOGISTS, CHARTERED
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 702-733-7866
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Fax | 702-733-8862
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 10838
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License Number State | NV
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