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General NPI Number Information
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NPI Number | 1033138169
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Entity Type | Individual
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Provider Name | JOHN V. FENICE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 2601 ANNAND DR SUITE 4
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City | WILMINGTON
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State | DE
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Zip | 19808-3719
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Country | US
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Telephone | 302-998-3334
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Fax | 302-998-8985
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Provider Business Mailing Address
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Address Line | 2601 ANNAND DR SUITE 4
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City | WILMINGTON
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State | DE
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Zip | 19808-3719
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Country | US
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Telephone | 302-998-3334
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Fax | 302-998-8985
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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 | MA79983
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0007714
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License Number State | DE
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