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General NPI Number Information
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NPI Number | 1093178709
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Entity Type | Individual
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Provider Name | CHRISTOPHER WOLF DPM
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Gender | Male
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 175 CAREW STREET #250
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-748-7350
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Fax | 413-748-7325
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Provider Business Mailing Address
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Address Line | 175 CAREW ST STE 250
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2483
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Country | US
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Telephone | 413-748-7350
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Fax | 413-748-7325
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2492
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License Number State | MA
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