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General NPI Number Information
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NPI Number | 1669239737
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Entity Type | Individual
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Provider Name | CASSANDRA WYNN WHEELER APRN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 1000 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-323-9057
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Fax | 859-323-9502
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Provider Business Mailing Address
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Address Line | 3689 LAREDO DR
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City | LEXINGTON
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State | KY
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Zip | 40517-2179
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Country | US
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Telephone | 859-626-2969
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 1158094
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4023840
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License Number State | KY
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