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General NPI Number Information
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NPI Number | 1194747105
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Entity Type | Individual
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Provider Name | KEVIN W. WOLFE MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 136 FURMAN RD SUITE 6
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City | BOONE
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State | NC
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Zip | 28607-5038
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Country | US
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Telephone | 828-268-1185
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Fax | 828-265-8522
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Provider Business Mailing Address
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Address Line | 136 FURMAN RD SUITE 6
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City | BOONE
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State | NC
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Zip | 28607-5038
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Country | US
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Telephone | 828-268-1185
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Fax | 828-265-8522
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2007-01896
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License Number State | NC
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