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General NPI Number Information
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NPI Number | 1396764932
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Entity Type | Individual
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Provider Name | RALPH WOLF D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 630 W DIVISION ST SUITE F
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City | DOVER
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State | DE
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Zip | 19904-2760
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Country | US
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Telephone | 302-674-3366
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Fax | 302-674-3360
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Provider Business Mailing Address
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Address Line | 125 E MERRITT ISLAND CSWY SUITE 209 #405
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3699
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Country | US
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Telephone | 410-778-1933
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | C2-0003033
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | H0032854
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License Number State | MD
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