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NPI Code Detail

MEDICARE: MRS. DOROTHY J. ROLFE

MEDICARE: MRS. DOROTHY J. ROLFE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerOK

General Provider Information

NPI Number : 1487967626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DOROTHY J. ROLFE
Provider Business Mailing Address
First Line : 9700 S PENNSYLVANIA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-6917
Country : US
Telephone Number : 405-735-9732
Fax Number : 405-735-9643
Provider Business Practice Location Address
First Line : 9700 S PENNSYLVANIA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-6917
Country : US
Telephone Number : 405-735-9732
Fax Number : 405-735-9643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 07/16/2010

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