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General NPI Number Information
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NPI Number | 1386673275
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Entity Type | Organization
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Legal Business Name | WOLF HEALTHCARE PC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4120 LAUREL ST SUITE 101
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City | ANCHORAGE
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State | AK
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Zip | 99508
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Country | US
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Telephone | 907-677-9728
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Fax | 907-677-9729
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Provider Business Mailing Address
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Address Line | 8133 SUNDI DRIVE
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City | ANCHORAGE
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State | AK
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Zip | 99502
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Country | US
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Telephone | 907-677-6636
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Fax | 907-245-0574
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARON S WOLF
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Credential | MD
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Telephone | 907-677-6636
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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 | 0831
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License Number State | AK
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