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NPI 1871553578

NPI 1871553578 : DEBORAH A WHEELER MD : GRAND JUNCTION, CO

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General NPI Number Information
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    NPI Number           |    1871553578
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH A WHEELER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/25/2006
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    Last Update Date     |    11/21/2007
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Provider Practice Location Address
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    Address Line         |    1000 WELLINGTON AVE 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81501-8180
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    Country              |    US
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    Telephone            |    970-242-3854
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1120 WELLINGTON AVE SUITE 206
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81501-6129
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    Country              |    US
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    Telephone            |    970-241-8013
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    Fax                  |    970-241-1308
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    25720
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    License Number State |    CO
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