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General NPI Number Information
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NPI Number | 1205098456
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Entity Type | Individual
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Provider Name | JOSHUA BENJAMIN WOLFSOHN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 64 EAST DAILY DRIVE
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City | CAMARILLO
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State | CA
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Zip | 93010-5803
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Country | US
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Telephone | 805-384-8071
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Fax | 805-437-8717
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Provider Business Mailing Address
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Address Line | 3400 DATA DRIVE PHYSICIAN SUPPORT SERVICES, 2ND FLOOR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 805-278-9599
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Fax | 805-278-1220
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R70150
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 20A11186
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License Number State | CA
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