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General NPI Number Information
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NPI Number | 1053369702
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Entity Type | Organization
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Legal Business Name | JUDITH A WOLFE MD PC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4109
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Country | US
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Telephone | 814-535-7107
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Fax | 814-533-1885
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 728
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City | JOHNSTOWN
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State | PA
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Zip | 15907-0728
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Country | US
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Telephone | 814-539-7107
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Fax | 814-533-1885
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Authorized Official
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Title or Position | OWNER
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Name | JUDITH A WOLFE
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Credential | MD
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Telephone | 814-535-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD036775L
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License Number State | PA
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