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1851716237 NPI number — PAUL ALAN WHEELER III MS, ATC, LAT, CES

NPI Number: 1851716237
Health Care Provider/Practitioner: PAUL ALAN WHEELER III MS, ATC, LAT, CES

Information about “1851716237” NPI (PAUL ALAN WHEELER III MS, ATC, LAT, CES) exists in 1851716237 in HTML format HTML  |  1851716237 in plain Text format TXT  |  1851716237 in PDF (Portable Document Format) PDF  |  1851716237 in an XML format XML  formats.

NPI Number : 1851716237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851716237",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHEELER",
    "FirstName": "PAUL",
    "MiddleName": "ALAN",
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "MS, ATC, LAT, CES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1219 E KERRY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85024-2344",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-290-2795",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6935 E GOLD DUST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85253-1447",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-484-6500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2014",
    "LastUpdateDate": "08/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "ATR-000980",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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