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General NPI Number Information
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NPI Number | 1922184084
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Entity Type | Individual
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Provider Name | KEVIN G. WHEELER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 14 RICHLAND MEDICAL PARK DR STE 350
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City | COLUMBIA
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State | SC
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Zip | 29203-6896
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Country | US
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Telephone | 803-434-1663
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Fax | 803-434-7092
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Provider Business Mailing Address
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Address Line | 1901 TATE SPRINGS RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-1109
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Country | US
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Telephone | 434-200-3000
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101248231
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 12827
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 95719
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD28150
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License Number State | ME
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