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General NPI Number Information
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NPI Number | 1134194392
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Entity Type | Individual
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Provider Name | SCOTT BRIAN WOLPIN DMD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 5219 LANKFORD HWY
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City | NEW CHURCH
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State | VA
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Zip | 23415-3332
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Country | US
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Telephone | 757-824-5676
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Fax | 757-824-5872
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Provider Business Mailing Address
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Address Line | 20280 MARKET ST
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City | ONANCOCK
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State | VA
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Zip | 23417-1331
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Country | US
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Telephone | 757-414-0400
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Fax | 757-414-0569
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10430
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414210
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License Number State | VA
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