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General NPI Number Information
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NPI Number | 1245506153
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Entity Type | Individual
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Provider Name | JAMES E. WOLF MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2012
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 62 TILLEY DR STE 201
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-4407
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Country | US
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Telephone | 802-847-3737
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Fax | 802-847-2965
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 042.0013609
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 291101
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 291101
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 042.0013609
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License Number State | VT
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