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General NPI Number Information
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NPI Number | 1316557473
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Entity Type | Individual
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Provider Name | ALEXANDER MONROE WOLF CNIM
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Gender | Male
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 950 E HARVARD AVE
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City | DENVER
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State | CO
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Zip | 80210-7009
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Country | US
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Telephone | 303-359-2242
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 889
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City | ENGLEWOOD
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State | CO
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Zip | 80151-0889
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Country | US
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Telephone | 303-359-2242
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 4264
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License Number State | FL
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