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General NPI Number Information
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NPI Number | 1972464816
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Entity Type | Individual
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Provider Name | JACQUELINE DOW WHEELER LGPAT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 260 GATEWAY DR STE 7-8B
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City | BEL AIR
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State | MD
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Zip | 21014-4268
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Country | US
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Telephone | 410-846-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 521 ELMWOOD RD
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City | BALTIMORE
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State | MD
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Zip | 21206-2129
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Country | US
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Telephone | 410-967-0899
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | ATG427
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License Number State | MD
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