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General NPI Number Information
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NPI Number | 1649087032
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Entity Type | Organization
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Legal Business Name | JONATHAN W WHEELER MD INC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 999 ADAMS ST STE 303
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City | SAINT HELENA
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State | CA
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Zip | 94574-1173
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Country | US
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Telephone | 707-963-3658
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Fax | 707-963-1775
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Provider Business Mailing Address
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Address Line | 999 ADAMS ST STE 303
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City | SAINT HELENA
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State | CA
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Zip | 94574-1173
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Country | US
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Telephone | 707-963-3658
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Fax | 707-963-1775
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JONATHAN W WHEELER
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Credential | MD
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Telephone | 707-815-2578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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