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General NPI Number Information
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NPI Number | 1750094728
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY WHEELER JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 03/24/2024
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Provider Practice Location Address
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Address Line | 2758 N GALLOWAY AVE STE 100
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City | MESQUITE
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State | TX
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Zip | 75150-6381
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Country | US
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Telephone | 469-817-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 SPRING RIDGE LN
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3781
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Country | US
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Telephone | 972-822-8277
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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