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General NPI Number Information
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NPI Number | 1851716237
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Entity Type | Individual
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Provider Name | PAUL ALAN WHEELER III MS, ATC, LAT, CES
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Gender | Male
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 6935 E GOLD DUST AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-1447
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Country | US
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Telephone | 480-484-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 E KERRY LN
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City | PHOENIX
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State | AZ
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Zip | 85024-2344
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Country | US
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Telephone | 602-290-2795
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR-000980
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License Number State | AZ
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