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General NPI Number Information
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NPI Number | 1578507257
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Entity Type | Individual
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Provider Name | BEVERLY G WHEELER MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 534 E COURT AVE
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-4028
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Country | US
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Telephone | 812-288-8030
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Fax | 813-288-8032
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Provider Business Mailing Address
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Address Line | 2248 SHAWNEE DR APT. 2
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City | MADISON
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State | IN
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Zip | 47250-5106
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Country | US
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Telephone | 812-801-7322
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Fax | 813-288-8032
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 26499
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License Number State | KY
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