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General NPI Number Information
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NPI Number | 1205009305
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Entity Type | Individual
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Provider Name | STEFANIE JILL WOLF RPH
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Gender | Female
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 1250 EASTON RD STE 201N
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City | HORSHAM
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State | PA
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Zip | 19044-1421
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Country | US
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Telephone | 215-922-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 782 WARFIELD LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-3426
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Country | US
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Telephone | 215-947-7489
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP045347L
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License Number State | PA
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