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General NPI Number Information
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NPI Number | 1366554008
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Entity Type | Individual
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Provider Name | ANDREW KERRY WOLFE LCSW/C
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | VA MEDICAL CENTER 50 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8000
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Fax | 202-745-8169
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Provider Business Mailing Address
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Address Line | 5434 RING DOVE LN
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City | COLUMBIA
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State | MD
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Zip | 21044-1716
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Country | US
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Telephone | 410-730-2411
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 05609
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License Number State | MD
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