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General NPI Number Information
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NPI Number | 1851357420
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Entity Type | Individual
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Provider Name | FELICE WENER MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2596 INTERSTATE 55 TRISTATE ADVANCED SURGERY CENTER
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City | MARION
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State | AR
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Zip | 72364
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Country | US
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Telephone | 870-559-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 2596 INTERSTATE 55 TRISTATE ADVANCED SURGERY CENTER
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City | MARION
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State | AR
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Zip | 72364
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Country | US
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Telephone | 870-559-2006
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 92270
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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 | E-9158
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101282093
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35725
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License Number State | TN
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