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General NPI Number Information
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NPI Number | 1639789894
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Entity Type | Individual
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Provider Name | SHELLIAN N WHEELER
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 500 NW 165TH STREET RD STE 100
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City | MIAMI
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State | FL
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Zip | 33169-6306
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Country | US
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Telephone | 786-657-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 301 NW 96TH ST
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City | MIAMI
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State | FL
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Zip | 33150-1939
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Country | US
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Telephone | 786-304-4399
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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