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General NPI Number Information
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NPI Number | 1922951474
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Entity Type | Organization
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Legal Business Name | WHEELING & HEALING MOBILE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1107 BRADYVILLE PIKE
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City | MURFREESBORO
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State | TN
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Zip | 37130-5634
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Country | US
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Telephone | 615-852-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 BRADYVILLE PIKE
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City | MURFREESBORO
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State | TN
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Zip | 37130-5634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SHAWN DEGEORGE PRUITT SR.
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Credential | PHARM.D.
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Telephone | 615-852-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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