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General NPI Number Information
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NPI Number | 1346405511
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Entity Type | Individual
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Provider Name | WILLIAM F. DEWOLF II MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2008
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 801 OAK ST
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-4317
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Country | US
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Telephone | 412-330-4000
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Fax | 412-330-4366
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Provider Business Mailing Address
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Address Line | 1090 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-9116
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Country | US
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Telephone | 941-363-0878
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Fax | 941-460-5599
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME139695
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License Number State | FL
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