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General NPI Number Information
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NPI Number | 1497534622
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Entity Type | Individual
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Provider Name | JOSHUA DAVID WHEELER AGNP-C CNP
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Gender | Male
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 950 SALEM ST
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City | BROOKVILLE
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State | OH
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Zip | 45309-8227
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Country | US
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Telephone | 937-833-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S MONTGOMERY ST UNIT 2
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City | UNION
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State | OH
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Zip | 45322-3337
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Country | US
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Telephone | 937-216-1660
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN.CNP.0034945
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License Number State | OH
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