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General NPI Number Information
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NPI Number | 1356514780
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Entity Type | Individual
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Provider Name | CLARENCE JOESPH WOLINSKI III M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 501 MIDWESTERN PKWY E
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2302
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Country | US
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Telephone | 940-766-8791
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Fax | 940-766-8421
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Provider Business Mailing Address
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Address Line | 501 MIDWESTERN PKWY E
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2302
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Country | US
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Telephone | 940-766-8791
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Fax | 940-766-8421
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | N4848
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License Number State | TX
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