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General NPI Number Information
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NPI Number | 1104853811
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Entity Type | Individual
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Provider Name | KENT RAY WEHMEIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 14135 BALLANTYNE CORPORATE PL STE 225
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City | CHARLOTTE
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State | NC
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Zip | 28277-3871
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Country | US
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Telephone | 704-316-2930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 980-302-7590
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Fax | 980-302-7591
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME99193
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2022-02354
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License Number State | NC
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