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General NPI Number Information
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NPI Number | 1780707174
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Entity Type | Individual
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Provider Name | WHEELER JOHN DALE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 901 SAINT MARYS DR STE 400
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City | EVANSVILLE
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State | IN
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Zip | 47714-0520
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Country | US
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Telephone | 812-485-6030
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Fax |
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Provider Business Mailing Address
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Address Line | 5060 SW PHILOMATH BLVD # 512
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City | CORVALLIS
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State | OR
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Zip | 97333-3239
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Country | US
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Telephone | 541-250-9074
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 30108
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD25366
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01081209A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD25366
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 30108
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 30108
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 01081209A
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License Number State | IN
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