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General NPI Number Information
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NPI Number | 1366571986
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Entity Type | Individual
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Provider Name | JEFFREY WOLMER H.I.S.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 13342 POWAY RD
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City | POWAY
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State | CA
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Zip | 92064-4626
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Country | US
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Telephone | 858-391-1224
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Fax |
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Provider Business Mailing Address
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Address Line | 11830 CYPRESS CANYON RD # 1
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City | SAN DIEGO
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State | CA
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Zip | 92131-3735
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Country | US
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Telephone | 858-455-9531
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA5028
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License Number State | CA
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