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General NPI Number Information
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NPI Number | 1083938336
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Entity Type | Individual
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Provider Name | GARRETT WOLTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 820 N CHELAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2028
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Country | US
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Telephone | 509-663-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 820 N CHELAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2028
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Country | US
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Telephone | 509-663-8711
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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 | DO167698
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10034213
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License Number State | TX
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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 | OP60394009
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License Number State | WA
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