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General NPI Number Information
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NPI Number | 1467597815
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Entity Type | Individual
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Provider Name | CAROL STONE WOLMAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 225 CLIFTON ST APT 212
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City | OAKLAND
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State | CA
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Zip | 94618-1774
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Country | US
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Telephone | 510-452-9946
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Fax | 510-452-9946
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | MENDOCINO
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State | CA
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Zip | 95460-1328
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Country | US
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Telephone | 707-937-2468
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Fax | 510-655-4774
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G17507
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License Number State | CA
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