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General NPI Number Information
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NPI Number | 1467441154
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Entity Type | Individual
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Provider Name | RICHARD D WOLFF DPM
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 1050 ISAAC STREETS DR #133
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City | OREGON
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State | OH
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Zip | 43616-8213
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Country | US
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Telephone | 419-693-0055
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Fax | 419-693-5025
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Provider Business Mailing Address
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Address Line | 1050 ISAAC STREETS DR #133
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City | OREGON
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State | OH
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Zip | 43616-8213
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Country | US
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Telephone | 419-693-0055
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Fax | 419-693-5025
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003380
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 36.003380
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License Number State | OH
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