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General NPI Number Information
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NPI Number | 1326399320
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Entity Type | Individual
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Provider Name | STEPHANIE KARYN WOLF HULL MA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 2387 E WALTON BLVD
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1955
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Country | US
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Telephone | 248-475-3611
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Fax |
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Provider Business Mailing Address
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Address Line | 6260 SHAPPIE RD
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City | CLARKSTON
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State | MI
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Zip | 48348-2042
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Country | US
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Telephone | 248-219-2077
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301010989
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License Number State | MI
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