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General NPI Number Information
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NPI Number | 1063584357
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Entity Type | Organization
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Legal Business Name | BRIAN D WOLFF MD PA
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 671 GOODLETTE RD N SUITE 120
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City | NAPLES
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State | FL
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Zip | 34102-5469
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Country | US
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Telephone | 239-643-4030
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Fax | 239-643-6010
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Provider Business Mailing Address
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Address Line | 671 GOODLETTE RD N SUITE 120
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City | NAPLES
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State | FL
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Zip | 34102-5469
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Country | US
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Telephone | 239-643-4030
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Fax | 239-643-6010
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN DAVID WOLFF
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Credential | MD
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Telephone | 239-643-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME61719
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License Number State | FL
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