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Individual
RICHARD DUKE WHEELER
Active
Individual
RICHARD DUKE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217664
ANTHEM
OH
05
—
2208864
—
OH
Enumeration date
06/12/2007
Last updated
07/08/2007
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