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General NPI Number Information
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NPI Number | 1992852750
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Entity Type | Individual
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Provider Name | CLAIRE M WHEELER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 526 COLLEGE DR
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City | BARNESVILLE
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State | GA
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Zip | 30204-1713
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Country | US
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Telephone | 770-584-2128
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Fax | 770-358-1015
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Provider Business Mailing Address
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Address Line | 100 SKYLINE DR
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City | BARNESVILLE
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State | GA
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Zip | 30204-1810
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Country | US
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Telephone | 770-584-2128
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Fax | 770-358-1015
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1275
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License Number State | GA
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