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General NPI Number Information
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NPI Number | 1740392117
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Entity Type | Individual
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Provider Name | CHRISTINE WHEELER DOE M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 7400 METRO BLVD STE 335
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City | EDINA
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State | MN
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Zip | 55439-2356
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Country | US
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Telephone | 952-457-5163
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Fax | 877-631-5659
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Provider Business Mailing Address
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Address Line | 7400 METRO BLVD STE 335
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City | EDINA
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State | MN
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Zip | 55439-2356
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Country | US
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Telephone | 952-457-5163
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Fax | 877-631-5659
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1151
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1151
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License Number State | MN
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