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General NPI Number Information
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NPI Number | 1386954790
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Entity Type | Organization
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Legal Business Name | IRVING D. WOLFE, M.D.,PA
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 21 CROSSROADS DRIVE #255
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-363-2320
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Fax | 410-363-8475
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Provider Business Mailing Address
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Address Line | 21 CROSSROADS DRIVE #255
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-363-2320
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Fax | 410-363-8475
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRVING D WOLFE
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Credential | M.D.
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Telephone | 410-363-2320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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