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General NPI Number Information
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NPI Number | 1750504809
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Entity Type | Individual
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Provider Name | TERESA A WHEELOUS R. PH.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FDA, WHITE OAK, BLDG. 22, RM 4344 10903 NEW HAMPSHIRE AVENUE
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City | SILVER SPRING
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State | MD
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Zip | 20903
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Country | US
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Telephone | 301-796-1161
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Fax | 301-796-9842
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Provider Business Mailing Address
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Address Line | 10164 PLACID LAKE CT
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City | COLUMBIA
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State | MD
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Zip | 21044-2567
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Country | US
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Telephone | 410-997-9717
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9199
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License Number State | MD
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