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General NPI Number Information
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NPI Number | 1558347773
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Entity Type | Individual
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Provider Name | ERIN L WHEELER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 400 N 17TH ST
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City | KEOKUK
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State | IA
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Zip | 52632-3452
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Country | US
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Telephone | 319-524-5734
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Fax | 319-524-5758
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Provider Business Mailing Address
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Address Line | 1706 W AGENCY RD
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1667
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Country | US
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Telephone | 319-768-5858
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Fax | 319-752-4653
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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 | 2000164074
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A1300376
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License Number State | IA
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