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General NPI Number Information
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NPI Number | 1528408937
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Entity Type | Individual
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Provider Name | REGINA MARIA WHEELER APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2013
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Last Update Date | 06/29/2013
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Provider Practice Location Address
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Address Line | 2000 E 15TH ST SUITE 400
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City | EDMOND
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State | OK
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Zip | 73013-6697
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Country | US
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Telephone | 405-341-1697
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Fax | 405-341-2672
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Provider Business Mailing Address
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Address Line | 8255 E INDUSTRIAL RD
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City | GUTHRIE
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State | OK
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Zip | 73044-6837
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Country | US
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Telephone | 405-315-4640
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 89217
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 89217
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License Number State | OK
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