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General NPI Number Information
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NPI Number | 1306186580
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Entity Type | Individual
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Provider Name | JOSEPH WOLFF LMT
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Gender | Male
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 02/25/2013
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Provider Practice Location Address
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Address Line | 1640 E THOMAS RD SUITE B
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City | PHOENIX
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State | AZ
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Zip | 85016-7602
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Country | US
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Telephone | 602-695-0809
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Fax | 480-897-1758
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Provider Business Mailing Address
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Address Line | 1628 E SOUTHERN AVE SUITE 9-400
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City | TEMPE
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State | AZ
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Zip | 85282-5782
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Country | US
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Telephone | 602-695-0809
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Fax | 480-897-1758
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-07288
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License Number State | AZ
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