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General NPI Number Information
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NPI Number | 1023941093
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Entity Type | Individual
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Provider Name | ROBERT JOHN WOLFRAM JR. CPRS, CDCA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 3991 HAMILTON MIDDLETOWN RD STE F
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City | HAMILTON
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State | OH
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Zip | 45011-6224
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Country | US
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Telephone | 513-468-9303
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 NOBLE AVE
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City | HAMILTON
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State | OH
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Zip | 45015-1428
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Country | US
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Telephone | 937-980-4053
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.006775
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.194468
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License Number State | OH
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