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General NPI Number Information
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NPI Number | 1467429779
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Entity Type | Individual
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Provider Name | MICHAEL O. WENDT MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 2720 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4810
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Country | US
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Telephone | 803-935-8538
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Fax | 803-791-2660
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8614
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Fax | 803-765-1732
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 15154
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 15154
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License Number State | SC
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