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General NPI Number Information
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NPI Number | 1235183682
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Entity Type | Individual
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Provider Name | JEFFERY LAWRENCE WOLFF D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | CMR 402 BOX 1791
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City | APO
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State | AE
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Zip | 09180
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Country | DE
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Telephone | 0496383927597
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 402 BOX 1791
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City | APO
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State | AE
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Zip | 09180
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Country | DE
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | K0402
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License Number State | TX
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